Individual
JENNIFER PRANTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
45863 WATERSIDE DR APT 9311, MACOMB, MI 48044-5340
(158) 694-6759
Mailing address
45863 WATERSIDE DR APT 9311, MACOMB, MI 48044-5340
(158) 694-6759
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010796
MI
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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