Individual
MRS. JENNIFER JANE HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
20300 CIVIC CENTER DR, STE 303, SOUTHFIELD, MI 48076-4105
(248) 559-8190
Mailing address
20300 CIVIC CENTER DR, SUITE 303, SOUTHFIELD, MI 48076-4105
(248) 559-8190
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011341
MI
Other
Enumeration date
05/19/2009
Last updated
12/14/2011
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