Individual
MRS. JEANETTE VONGRABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1777 AXTELL DR STE 100, TROY, MI 48084-4400
(517) 410-9430
Mailing address
1498 CLEAR CREEK DR, ROCHESTER HILLS, MI 48306-4831
(517) 410-9430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016496
MI
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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