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Organization
ILLUMINATE MY LIFE COUNSELING
Active
Organization
ILLUMINATE MY LIFE COUNSELING
Active
Other names
Illuminate My Life Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA GENEREAUX LMSW (LMSW)
(231) 570-0627
Entity
Organization
Contact information
Practice address
2692 S M 37, TRAVERSE CITY, MI 49685-9187
(231) 570-0627
Mailing address
2692 S M 37, TRAVERSE CITY, MI 49685-9187
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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