Individual
JACQUELYN MARIE MARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
220 N MAIN ST, ADRIAN, MI 49221-2749
(517) 265-5352
(517) 263-6090
Mailing address
220 N MAIN ST, ADRIAN, MI 49221-2749
(517) 265-5352
(517) 263-6090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011126
MI
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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