Individual
JESSICA LEA CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4304
(616) 303-1313
Mailing address
456 DAYBURG RD, COLDWATER, MI 49036-9639
(517) 617-2778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6451023720
MI
101YM0800X
Mental Health Counselor
6451023720
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/09/2024
Last updated
01/08/2026
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