Individual
DR. JENNIFER MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29623 NORTHWESTERN HWY STE 5, SOUTHFIELD, MI 48034-1076
(248) 495-0684
Mailing address
1190 LEINBACH AVE, BLOOMFIELD, MI 48302-0035
(248) 495-0684
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014902
MI
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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