Individual
JENNIFER GRUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 PICCADILLY RD, KALAMAZOO, MI 49006-2622
(269) 267-7737
Mailing address
5340 HOLIDAY TER, KALAMAZOO, MI 49009-2196
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012385
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235545930
—
MI
Enumeration date
07/02/2014
Last updated
03/17/2018
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