Individual
JESSE JEREMY GENE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2580 EATON RAPIDS RD, LANSING, MI 48911-6307
(517) 643-4728
Mailing address
2580 EATON RAPIDS RD, LANSING, MI 48911-6307
(517) 643-4728
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012958
MI
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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