Individual
JESSICA HUMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(248) 620-6400
(248) 620-6405
Mailing address
26440 OSMUN ST, MADISON HEIGHTS, MI 48071-3760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401015575
MI
101YP2500X
Professional Counselor
Primary
6401015575
MI
Other
Enumeration date
09/23/2016
Last updated
01/27/2026
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