Individual
MRS. JENNIFER LYNN MCNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 631-2320
Mailing address
2343 N LEWIS RD, COLEMAN, MI 48618-9725
(989) 465-0756
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009581
MI
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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