Individual provider · Type 1 NPI

Amanda Kimberly Fenn

Mental Health Counselor · Grand Rapids, MI

NPI number 1346983459 Active

Practice location

1560 Leonard St NE
Grand Rapids, MI 49505-5572

Call (616) 460-7647 Map

Fax (616) 458-5430

Mailing address

8576 Jasonville Ct SE
Caledonia, MI 49316-8287

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1346983459

Amanda Kimberly Fenn's National Provider Identifier is 1346983459, issued on Apr 16, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 16, 2022.