Doctor Name: | MRS. SHAWN MARIE KOLHOFF |
NPI Number: | 1144347741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.L.P. |
License Number: | 6301012543 |
Business Practice Address: | 740 36th St Se Kentwood, MI - 495482344 |
Business Phone Number: | 6164758300 |
Business Fax Number: | 6164758304 |
Mailing Address: | 152 2nd Ave, PLAINWELL |
State: | MI |
Postal Code: | 490801205 |
Phone Number: | 2696853281 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 6301012543 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |