Individual
JESSICA S MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 N GRAND ST STE A, SCHOOLCRAFT, MI 49087-9203
(269) 389-0161
Mailing address
830 E LYONS ST, SCHOOLCRAFT, MI 49087-9753
(863) 899-0477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6451023010
MI
101YP2500X
Professional Counselor
Primary
6451023010
MI
Other
Enumeration date
05/05/2023
Last updated
05/10/2023
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