Individual
DAWN J JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3282 CLEAR VISTA CT NE STE B, GRAND RAPIDS, MI 49525-9766
(616) 901-5356
Mailing address
1540 PONTIAC RD SE, GRAND RAPIDS, MI 49506-3339
(616) 901-5356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801086113
MI
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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