Individual
JESSICA KEMPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
NELSON ELEMENTARY, 550 W GRAND AVENUE, MUSKEGON, MI 49441-2336
(231) 733-6680
Mailing address
205 GROVE ST, IRONMEN HEALTH CENTER, MANCELONA, MI 49659-8018
(231) 587-9840
(231) 587-9846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
6401012439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508103060
—
MI
Enumeration date
01/03/2013
Last updated
09/05/2018
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