Individual
MRS. JENNIFER DE BEAUSSET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3141 W JEFFERSON AVE, TRENTON, MI 48183-2935
(734) 328-2817
Mailing address
21719 W RIVER RD, GROSSE ILE, MI 48138-1443
(215) 919-7220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6402026422
MI
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2009
Last updated
02/08/2018
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