Individual
MRS. JENELLE KATHLYN LEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
500 S MAIN ST, SUITE B, MT PLEASANT, MI 48858-3100
(989) 773-0222
(989) 772-4241
Mailing address
500 S MAIN ST, SUITE B, MT PLEASANT, MI 48858-3100
(989) 773-0222
(989) 772-4241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011465
MI
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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