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Organization
JLS COUNSELING & MENTORING LLC
Active
Organization
JLS COUNSELING & MENTORING LLC
Active
Other names
JLS Counseling & Mentoring LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JANE L STOCKINGER LMSW ACSW BSN RN (OWNER)
(616) 940-9090
Entity
Organization
Contact information
Practice address
2268 THISTLEDOWNE DR NE, GRAND RAPIDS, MI 49505-6325
(616) 940-9090
Mailing address
4310 LEONARD ST NW, SUITE 103, WALKER, MI 49534
(616) 453-6329
(616) 453-1725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801080952
MI
163W00000X
Registered Nurse
4704077527
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008944510
BCBS
—
Enumeration date
01/17/2007
Last updated
09/09/2008
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