Individual
JESSE COUNELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLBSW
Contact information
Practice address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0251
Mailing address
1570 SUNCREST DR, LAPEER, MI 48446-1154
(810) 667-0500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802088392
MI
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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