Individual
JESSICA VAN CLEAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3970 PHILROSE DR, JACKSON, MI 49201-9129
(765) 543-7227
Mailing address
3970 PHILROSE DR, JACKSON, MI 49201-9129
(765) 543-7227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014184
MI
Other
Enumeration date
03/22/2014
Last updated
11/15/2024
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