Individual
JASON POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
2033 43RD ST SE APT V8, GRAND RAPIDS, MI 49508-8734
(616) 821-0821
Mailing address
2033 43RD ST SE APT V8, GRAND RAPIDS, MI 49508-8734
(616) 821-0821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017062
MI
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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