MEDICARE: ANNE DEEMER LLPC

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
1	101YP2500X	Professional Counselor	6451024450	MI

General Provider Information

NPI Number	:	1699662106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE DEEMER LLPC

Provider Business Mailing Address
First Line	:	1870 GIDDINGS AVE SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49507-2857
Country	:	US
Telephone Number	:	248-756-4239
Fax Number	:

Provider Business Practice Location Address
First Line	:	3755 REMEMBRANCE RD NW STE 3
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49534-7745
Country	:	US
Telephone Number	:	616-259-5177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	06/18/2025

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Directions to “ ANNE DEEMER LLPC” Practice Location

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