Individual
MS. JANE ELIZABETH DETWEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4245 KNAPP ST NE, GRAND RAPIDS, MI 49525-9666
(616) 265-8241
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 265-8241
(616) 281-6459
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009095
MI
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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