Individual
MS. JILL ANN MICHNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12978 JAMES ST, STE 10, HOLLAND, MI 49424
(616) 399-7005
(616) 399-7150
Mailing address
12978 JAMES ST, STE 10, HOLLAND, MI 49424
(616) 399-7005
(616) 399-7150
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301008742
MI
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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