Individual
MRS. AMANDA JEANNE GARRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 783-4250
Mailing address
1206 CLINTON RD, JACKSON, MI 49202-2005
(517) 783-4250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010456
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386099698
—
MI
Enumeration date
04/09/2013
Last updated
04/09/2013
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