Organization
MYRANDA JENNINGS LPC PLLC
Active
Other names
Myranda Jennings
Organization subpart
No
Provider details
NPI number
Authorized official
MYRANDA ELLINGSEN LPC (LICENSED PROFESSIONAL COUNSELOR)
(586) 806-9726
Entity
Organization
Contact information
Practice address
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
(586) 806-9726
(313) 216-1811
Mailing address
15117 CHATHAM ST, DETROIT, MI 48223-1889
(586) 806-9726
(313) 216-1811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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