Individual
RENEE HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2566 WOODMEADOW DRIVE SE, GRAND RAPIDS, MI 49546
(616) 719-0194
Mailing address
2566 WOODMEADOW DR SE, GRAND RAPIDS, MI 49546-8031
(616) 719-0194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010033
MI
Other
Enumeration date
05/20/2015
Last updated
11/30/2016
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