Individual
JARED HENDERSHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 LAURENCE AVE, JACKSON, MI 49202
(517) 750-4777
Mailing address
4370 CHICAGO DR SW STE 735, GRANDVILLE, MI 49418-1694
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
03/11/2026
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