Individual
JESSICA LYNN KOWALKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 638-8132
Mailing address
2949 CREEK EDGE CT, HOLLAND, MI 49424-1689
(630) 442-8273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401016609
MI
101YM0800X
Mental Health Counselor
Primary
6401019809
MI
Other
Enumeration date
10/04/2018
Last updated
09/30/2021
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