Individual
JENNIFER TYRRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1799 LEXINGTON ST, PLYMOUTH, MI 48170-1052
(989) 600-0972
Mailing address
1799 LEXINGTON ST, PLYMOUTH, MI 48170-1052
(989) 600-0972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801100102
MI
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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