Individual
MS. JENNIFER G LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC NCC CAADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
204309
MI
101YP2500X
Professional Counselor
Primary
6401010366
MI
Other
Enumeration date
12/21/2011
Last updated
01/01/2013
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