Individual
MYANGELA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
233 FULTON ST E STE 526, GRAND RAPIDS, MI 49503-3269
(616) 805-3660
Mailing address
233 FULTON ST E STE 526, GRAND RAPIDS, MI 49503-3269
(616) 805-3660
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018043
MI
Other
Enumeration date
09/19/2017
Last updated
01/08/2020
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