Mary Ellen Rae Bertling-safford MA, LPC

NPI 1639330285 - Counselor - 101YP2500X

NPI Details
NPI 1639330285
Gender Female
Enumeration Date 06/17/2008
Last Updated 06/16/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
5070 CASCADE RD SE
SUITE 220
GRAND RAPIDS MI, 49546-8422, US
Phone (616) 977-5200
Fax (866) 721-6199
Business Location
5070 CASCADE RD SE
SUITE 220
GRAND RAPIDS MI, 49546-8422, US
Phone (616) 977-5200
Fax (866) 721-6199
Toxanomy
Taxonomy Code 101YP2500X
License State Michigan
License Number 6401007799
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According to our database, Mary Ellen Rae Bertling-safford MA, LPC NPI is 1639330285, taxonomy code is 101YP2500X and license number is 6401007799, license state is located at Michigan. Mary Ellen Rae Bertling-safford MA, LPC physically located at 5070 Cascade Rd Se, Grand Rapids MI, 49546-8422. NPI Number Mary Ellen Rae Bertling-safford MA, LPC has the Individual type.

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1639330285 NPI number is provided on an as is basis without warranty of any kind. 1639330285 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Ellen Rae Bertling-safford MA, LPC are for informational purposes only.