Individual
JEANIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 LANSING AVE, JACKSON, MI 49202-1621
(254) 458-3509
Mailing address
3300 LANSING AVE, JACKSON, MI 49202-1621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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