Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 6401005286 | MI |
NPI | 1003276916 |
---|---|
Provider Name | Ms. Beth E Cherin |
First Address | Spring Lake, MI 49456 |
Second Address | Holland, MI 49424-8324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2016 |
Last Update Date | 22/02/2018 |