Individual
JENNIFER LEIGH CRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1134 S LAPEER RD, LAPEER, MI 48446-3042
(810) 667-4111
Mailing address
5112 OSTROM RD, ATTICA, MI 48412-9318
(810) 577-1291
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013412
MI
Other
Enumeration date
01/02/2013
Last updated
02/06/2013
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