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Individual

JENNIFER MCKINSTRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
781 KENMOOR AVE SE STE C, GRAND RAPIDS, MI 49546-8624
(616) 558-6613
Mailing address
959 DIAMOND AVE NE, GRAND RAPIDS, MI 49503-1256

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019455
MI

Other

Enumeration date
06/27/2021
Last updated
06/27/2021
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