Individual
JESSICA LONGENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
32652 KNO DRIVE, DOWAGIAC, MI 49047
(269) 782-4141
(269) 783-1236
Mailing address
1128 SUNNYMEDE AVE, SOUTH BEND, IN 46615-1014
(574) 360-6281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
11/13/2023
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