Individual
MRS. JESSICA MARIE CLOUTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4483587
—
MI
Enumeration date
01/11/2010
Last updated
11/08/2018
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