Individual
JACKIE LYNN WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3611 N SAGINAW RD, MIDLAND, MI 48640-2384
(989) 631-2323
(989) 633-1039
Mailing address
3706 SHARON RD, MIDLAND, MI 48642-6230
(989) 832-1625
(989) 633-1039
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007852
MI
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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