Individual
JEAN MOREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CCTS-I
Contact information
Practice address
221 BRIDGE ST STE 1, CHARLEVOIX, MI 49720-1400
(231) 486-5434
Mailing address
PO BOX 14, WALLOON LAKE, MI 49796-0014
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2024015414
MO
101Y00000X
Counselor
Primary
6401223068
MI
101YM0800X
Mental Health Counselor
2024015414
MO
101YM0800X
Mental Health Counselor
6401223068
MI
101YP2500X
Professional Counselor
2024015414
MO
101YP2500X
Professional Counselor
6401223068
MI
Other
Enumeration date
11/03/2020
Last updated
07/23/2024
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