Individual
ALEXIS AHLBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2652 SPRING ARBOR RD, JACKSON, MI 49203-3604
(517) 612-5798
Mailing address
2652 SPRING ARBOR RD, JACKSON, MI 49203-3604
(517) 612-5798
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801116912
MI
1041C0700X
Clinical Social Worker
Primary
6801116912
MI
Other
Enumeration date
03/24/2023
Last updated
02/09/2026
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