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Individual

MS. JENNIFER ERVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, LPC

Contact information

Practice address
32652 KNO DRIVE, DOWAGIAC, MI 49047-9766
(269) 782-4141
(269) 783-1236
Mailing address
32652 KNO DRIVE, DOWAGIAC, MI 49047-9766
(269) 782-4141
(269) 783-1236

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001203A
IN
101YP2500X
Professional Counselor
Primary
6401013226
MI
101YS0200X
School Counselor
176240
MI

Other

Enumeration date
03/12/2013
Last updated
11/14/2023
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