Individual
JENNIFER ROSE SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3705
Mailing address
3090 MCGINNIS DR, FENTON, MI 48430-1320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043554348
—
MI
Enumeration date
11/16/2021
Last updated
11/16/2021
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