Individual
JENNIFER BLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
3150 PACKARD RD, YPSILANTI, MI 48197-1994
(734) 203-0183
Mailing address
10672 NORTHWOOD HWY, ONEKAMA, MI 49675-9612
(734) 776-8251
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014637
MI
Other
Enumeration date
01/06/2015
Last updated
01/22/2021
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