person
Teresa Sofia Elam, TLLP
Mental Health Counselor in Grand Rapids, Michigan
NPI 1497373930

Teresa Sofia Elam is a Mental Health Counselor based in Wyoming, MI and is specialized in Mental Health. Teresa Sofia Elam practices in Grand Rapids, MI and has the professional credentials of TLLP. The NPI Number for Teresa Sofia Elam is 1497373930 and holds a License No. 6362002072 (Michigan).

The current practice location address for Teresa Sofia Elam is 901 Eastern Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-256-3174 and via fax at 616-827-0762.

Location: 901 Eastern Ave Ne, Grand Rapids, MI, 49509
person
Provider Profile Details
NPI Number
1497373930
Provider Name
Teresa Sofia Elam
Credential
TLLP
Provider Entity Type
Individual
Gender
Female
Address
901 Eastern Ave Ne, Grand Rapids, MI, 49509
Phone Number
616-256-3174
Fax Number
616-827-0762
Provider Enumeration Date
07/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
901 Eastern Ave Ne
City
State
Zip
49503
Phone Number
616-256-3174
Fax Number
616-827-0762
person
Provider Business Mailing Address Details
Address
901 Eastern Ave Ne
City
State
Zip
49503
Phone Number
616-256-3174
Fax Number
616-827-0762
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6362002072 (Michigan)
Definition
Definition to come...
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