Organization
BETH SIPPLE JANICK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH SIPPLE JANICK NP (NURSE PRACTITIONER)
(517) 410-0729
Entity
Organization
Contact information
Practice address
4572 S HAGADORN RD, SUITE 3B, EAST LANSING, MI 48823-5385
(517) 410-0729
(517) 999-3675
Mailing address
4572 S HAGADORN RD, SUITE 3B, EAST LANSING, MI 48823-5385
(517) 410-0729
(517) 999-3675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4704194601
MI
Other
Enumeration date
07/03/2015
Last updated
07/30/2015
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