Individual
MS. JAMIE ALANE MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, IMH-E
Contact information
Practice address
1214 GREENWOOD AVE, JACKSON, MI 49203-3037
(517) 745-1115
Mailing address
1214 GREENWOOD AVE, JACKSON, MI 49203-3037
(517) 745-1115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013896
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401013896
LICENSED PROFESSIONAL COUNSELOR LPC
MI
Enumeration date
01/03/2020
Last updated
01/03/2020
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