Individual
JESSICA LYNN KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
340 FREYLING PL SE UNIT A, GRAND RAPIDS, MI 49506-2596
(248) 990-4489
Mailing address
340 FREYLING PL SE UNIT A, GRAND RAPIDS, MI 49506-2596
(248) 990-4489
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019045
MI
Other
Enumeration date
09/29/2015
Last updated
01/11/2022
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