Individual
JENNIFER ALICE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC CAADC
Contact information
Practice address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 787-7920
(517) 787-2440
Mailing address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 787-7920
(517) 787-2440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012421
MI
Other
Enumeration date
07/12/2012
Last updated
12/14/2015
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