Individual
WILLIE EARL FEGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RECOVERY COACH CCAR
Contact information
Practice address
370 COUNTRY CLUB RD, HOLLAND, MI 49423-8303
(616) 393-2188
(616) 393-2182
Mailing address
370 COUNTRY CLUB RD, HOLLAND, MI 49423-8303
(616) 393-2188
(616) 393-2182
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
10/27/2020
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