MIKE JAY PONTIUS

GRAND RAPIDS, MI
NPI1437222171
Professional NameMICHAEL JAY PONTIUS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MI  6401006132)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: MI  6801062098)
Enumeration Date2006-11-17
Last Update Date2007-07-08
Business Address
Mr. MIKE JAY PONTIUS
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4304
Phone number: 616-988-9388
Mailing Address
Mr. MIKE JAY PONTIUS
PO BOX 150521
GRAND RAPIDS, MI 49515-0521
Phone number: 616-437-6628