Individual
MRS. COLLEEN MARY JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
10299 GRAND RIVER RD STE I, BRIGHTON, MI 48116-9558
(810) 844-7300
Mailing address
10299 GRAND RIVER RD STE I, BRIGHTON, MI 48116-9558
(810) 844-7300
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301010643
MI
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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