Individual
MRS. JENNELLE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP, LLPC
Contact information
Practice address
5400 HOLIDAY TER STE 200A, KALAMAZOO, MI 49009-2161
(269) 520-0035
(269) 520-0051
Mailing address
5400 HOLIDAY TER STE 200A, KALAMAZOO, MI 49009-2161
(269) 520-0035
(269) 520-0051
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014080
MI
103TC1900X
Counseling Psychologist
6301015621
MI
Other
Enumeration date
06/05/2014
Last updated
04/17/2021
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