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Organization

JMA CONSULTATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEWELETTER M ANDERSON LMSW, CAADC (OWNER AND CLINICIAN)
(734) 720-4888
Entity
Organization

Contact information

Practice address
124 PEARL ST STE 304, YPSILANTI, MI 48197-2663
(734) 720-4888
(734) 720-4884
Mailing address
124 PEARL ST STE 304, YPSILANTI, MI 48197-2663
(734) 720-4888
(734) 720-4884

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
6801098160
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1467996090
MI
Enumeration date
07/16/2018
Last updated
01/05/2021
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