Individual
JESSICA LEE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13980 SCHAVEY RD, DEWITT, MI 48820-9013
(517) 899-2820
Mailing address
2460 N EIFERT RD, HOLT, MI 48842-1030
(517) 899-2820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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