Individual
MS. JENNIFER BAZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
706 WINCHELL ST SE, GRAND RAPIDS, MI 49507-3227
(616) 446-1117
(616) 741-1706
Mailing address
706 WINCHELL ST SE APT SUITE, GRAND RAPIDS, MI 49507-3227
(616) 446-1117
(616) 741-1706
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401009854
MI
101YM0800X
Mental Health Counselor
Primary
6401009854
MI
Other
Enumeration date
01/22/2008
Last updated
08/16/2022
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