Individual
MRS. JENNIFER ANNE MEADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
1514 WEALTHY ST SE, SUITE 260, GRAND RAPIDS, MI 49506
(616) 634-8784
Mailing address
516 GIDDINGS AVE SE, GRAND RAPIDS, MI 49506-2728
(616) 634-8784
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011399
MI
101YS0200X
School Counselor
187882
MI
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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