Individual
JESSICA ROSE BONNEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3899 OKEMOS RD STE A1, OKEMOS, MI 48864-3666
(517) 507-5892
(517) 258-2951
Mailing address
111 N CLINTON AVE APT 5, SAINT JOHNS, MI 48879-1529
(616) 915-6548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
03/26/2024
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