Individual
JENNIFER MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA TLLP
Contact information
Practice address
1200 N WEST AVE STE 400, JACKSON, MI 49202-2180
(517) 262-0487
Mailing address
3872 KIRKWOOD ST, JACKSON, MI 49203-1130
(517) 750-3928
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
L754897
MI
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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