Individual
JEREMY MICHAEL MALZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
5675 FAIRVIEW ST, STEVENSVILLE, MI 49127-1033
(269) 429-7727
Mailing address
4065 BUFFALO RD, BUCHANAN, MI 49107-8426
(715) 644-8069
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401016442
MI
101YP2500X
Professional Counselor
Primary
6401019819
MI
Other
Enumeration date
01/18/2018
Last updated
07/09/2024
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