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NPI Code Detail

MEDICARE: ANNA K DEVRIES

MEDICARE: ANNA K DEVRIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1225712557
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA K DEVRIES
Provider Business Mailing Address
First Line : 2617 HILLANDALE DR NW
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49534-1349
Country : US
Telephone Number : 734-664-2711
Fax Number :
Provider Business Practice Location Address
First Line : 3424 CHICAGO DR
Second Line :
City : HUDSONVILLE
State : MI
Zip : 49426-1408
Country : US
Telephone Number : 616-426-9034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2023
Last Update Date : 01/21/2026

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