Individual
JENNIFER S LABODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLPC NCC SCL
Contact information
Practice address
54583 JOSEPH RONALD DR, MACOMB, MI 48042-2329
(586) 322-9972
Mailing address
54583 JOSEPH RONALD DR, MACOMB, MI 48042-2329
(586) 322-9972
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012493
MI
101YS0200X
School Counselor
SC0000000771196
MI
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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