Individual
JENNIFER ANN BATHRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6505 CHERRY MEADOW DR SE, CALEDONIA, MI 49316-9484
(616) 891-8770
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6451022013
MI
101YP2500X
Professional Counselor
Primary
6401224114
MI
Other
Enumeration date
02/16/2022
Last updated
04/08/2024
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