Individual
JESSICA A CARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SST
Contact information
Practice address
6051 FRANKFORT HWY, BENZONIA, MI 49616-9558
(877) 398-2013
(231) 882-2360
Mailing address
364 N MICHIGAN AVE, BEULAH, MI 49617-9296
(231) 882-4373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6803084730
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6803084730
STATE OF MICHIGAN LICENSE
MI
Enumeration date
02/11/2008
Last updated
02/11/2008
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