Ame Mae Edstrom, LLMFT
Marriage & Family Therapist in Hersey, MI. Individual provider (NPI-1).
NPI number1346789179
StatusActive
Last updated in NPPESFeb 13, 2017
Details
- NPI
- 1346789179
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ame Mae Edstrom
- Credential
- LLMFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2017
- Last updated
- Feb 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4101006505 | MI | Yes |
Practice location
4507 170th AveHersey, MI 49639-8785
Phone 231-832-2234 · Fax 231-832-0385
Mailing address
4507 170th AveHersey, MI 49639-8785
Phone 231-832-2234 · Fax 231-832-0385
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