BRENT MICHAEL ELLENS

HOLLAND, MI
NPI1932145729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301011810)
Enumeration Date2006-06-21
Last Update Date2022-01-07
Business Address
Dr. BRENT MICHAEL ELLENS Psy.D.
720 E 8TH ST STE 2
HOLLAND, MI 49423-3079
Phone number: 616-355-0549
Mailing Address
Dr. BRENT MICHAEL ELLENS Psy.D.
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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