Individual
MS. JESSICA ANN EBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
483 CENTURY LN, HOLLAND, MI 49423-4286
(616) 396-5284
Mailing address
483 CENTURY LN, HOLLAND, MI 49423-4286
(616) 566-1980
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401011030
MI
Other
Enumeration date
06/29/2011
Last updated
01/21/2019
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