Individual provider · Type 1 NPI
Mary Mildred Van Bonn, MA, LLPC
Professional Counselor · Grand Haven, MI
NPI number
1982170262
Active
Practice location
512 Washington Ave Ste B
Grand Haven, MI 49417-1455
Mailing address
549 Colfax Ave
Grand Haven, MI 49417-1828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401016842 (MI) |
Professional Counselor: Definition to come...
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About NPI 1982170262
Mary Mildred Van Bonn, MA, LLPC's National Provider Identifier is 1982170262, issued on Oct 15, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Haven, MI. The record was last updated on Oct 15, 2018.