Individual
MS. JENNIFER DECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
41 WASHINGTON AVE STE 367, GRAND HAVEN, MI 49417-1378
(616) 405-4733
(616) 935-1288
Mailing address
41 WASHINGTON AVE STE 367, GRAND HAVEN, MI 49417-1378
(616) 349-6551
(616) 935-1288
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010262
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487902003
TYPE 2 NPI
MI
Enumeration date
11/06/2015
Last updated
04/22/2024
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