Individual
JESSICA M GRIFFIOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC, NCC
Contact information
Practice address
5900 PORTAGE RD, PORTAGE, MI 49002-1774
(269) 388-3839
Mailing address
7585 S 25TH ST, KALAMAZOO, MI 49048-9745
(269) 873-7029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019483
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2020
Last updated
06/26/2021
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