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Individual

JESSICA MCGRAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LLPC, CAADC

Contact information

Practice address
445 E STATE ST, TRAVERSE CITY, MI 49686-2603
(231) 922-4810
(231) 943-2590
Mailing address
1010 S GARFIELD AVENUE, TRAVERSE CITY, MI 49686-3465
(231) 346-5216
(231) 943-2590

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401016117
MI
101YM0800X
Mental Health Counselor
6401016117
MI
101YS0200X
School Counselor
6401016117
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184087272
MI
05
1629431713
MI
Enumeration date
04/21/2016
Last updated
10/30/2017
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