Individual provider · Type 1 NPI

Tennyson Dewitt, LLPC

Professional Counselor · Grand Rapids, MI

NPI number 1174087118 Active

Practice location

648 Monroe Ave NW Ste 100
Grand Rapids, MI 49503-6714

Call (616) 916-3711 Map

Mailing address

7376 Arbol Dr NE
Rockford, MI 49341-9477

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401017015 (MI)

Professional Counselor: Definition to come...

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About NPI 1174087118

Tennyson Dewitt, LLPC's National Provider Identifier is 1174087118, issued on Jan 23, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 23, 2019.