Individual
JENEANNE A HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
43 WOOD LAKE RD, KINCHELOE, MI 49788-1108
(906) 322-4898
Mailing address
43 WOOD LAKE RD, KINCHELOE, MI 49788-1108
(906) 322-4898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
03/21/2023
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