Individual
JONATHON JEFFREY NOVELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW, ACSW
Contact information
Practice address
525 HILLCREST AVENUE, EAST LANSING, MI 48823
(517) 290-7011
Mailing address
525 HILLCREST AVENUE, EAST LANSING, MI 48823
(517) 290-7011
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801072600
MI
Other
Enumeration date
04/27/2006
Last updated
03/16/2016
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