Individual
JESSICA CHARRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
Contact information
Practice address
119 PERE MARQUETTE DR STE 3B, LANSING, MI 48912-1270
(734) 531-7763
(517) 675-8091
Mailing address
1408 BISCAYNE WAY, HASLETT, MI 48840-8410
(517) 410-8512
(517) 675-8091
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014379
MI
103TC0700X
Clinical Psychologist
6301013199
MI
Other
Enumeration date
06/01/2007
Last updated
03/28/2026
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