Individual
JORDYN HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26850 PROVIDENCE PKWY, STE 410, NOVI, MI 48374-1213
(248) 465-4335
Mailing address
231 WOODSIDE DR NE, GRAND RAPIDS, MI 49503-3846
(734) 634-5703
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014332
MI
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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