Individual provider · Type 1 NPI
Marilyn Booker, MA, LSC, LLPC
Professional Counselor · Grand Rapids, MI
NPI number
1194193953
Active
Practice location
4920 Plainfield Ave NE Ste 5
Grand Rapids, MI 49525-1010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 640101436 (MI) |
| School Counselor | 101YS0200X | SC0000000793839 (MI) |
Professional Counselor: Definition to come...
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About NPI 1194193953
Marilyn Booker, MA, LSC, LLPC's National Provider Identifier is 1194193953, issued on Sep 10, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 10, 2015.