NPI 1497006837

Mirella Ivellise Rodriguez

Practitioner Rehabilitation Counselor Grand Rapids, MI

Practice location

Address: 2135 Woodburn Dr SE, Grand Rapids, MI 49546-4385
Phone: (616) 340-5387
Mailing address: 542 Eastern Ave NE APT 1, Grand Rapids, MI 49503-1809

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X

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Registry record

NPI: 1497006837
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2012
Record last updated: 25 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.