Individual
JESSICA SUE PENHALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 488-4673
Mailing address
540 THOMPSON ST # 4073, ANN ARBOR, MI 48104-2414
(906) 236-0962
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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