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Individual

JAMES R SENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLP

Contact information

Practice address
385 3RD ST, MANISTEE, MI 49660-1718
(877) 398-2013
(231) 723-1792
Mailing address
273 4TH AVE, MANISTEE, MI 49660-2660

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401000021
MI
103T00000X
Psychologist
6301009089
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6301009089
STATE OF MICHIGAN LICENSE
MI
01
6401000021
STATE OF MICHIGAN LICENSE
MI
Enumeration date
02/15/2008
Last updated
02/15/2008
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