Individual
JENNIFER KARLEEN DIGENNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1324 LAKE DR SE STE 8, GRAND RAPIDS, MI 49506-1673
(616) 446-6728
Mailing address
3501 TUSCANY DR SE, GRAND RAPIDS, MI 49546-7247
(616) 446-6728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016512
MI
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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