Individual
MRS. JESSICA MICHELLE NIEKOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1200
Mailing address
6990 BROWNS LAKE RD, JACKSON, MI 49201-8362
(773) 317-3995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015361
MI
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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