Doctor Name: | REBECCA POSTMA-MARINE |
NPI Number: | 1124290994 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6801082599 |
Business Practice Address: | 21061 19 Mile Rd Big Rapids, MI - 493079267 |
Business Phone Number: | 2315272000 |
Business Fax Number: | 2315272900 |
Mailing Address: | 21061 19 Mile Rd, BIG RAPIDS |
State: | MI |
Postal Code: | 493079267 |
Phone Number: | 2315272000 |
Fax Number: | 2315272900 |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 6801082599 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |