Individual
JESSICA PREVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6672 NEWARK RD, IMLAY CITY, MI 48444-9657
(248) 633-6538
Mailing address
8285 S SAGINAW ST STE 102, GRAND BLANC, MI 48439-2436
(482) 633-6538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
04/04/2024
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