Individual
JACOB B NIENHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4488 JACKSON RD STE 7B, ANN ARBOR, MI 48103
(616) 856-0294
Mailing address
18 W WARNER ST, YPSILANTI, MI 48197-4709
(616) 856-0294
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301016354
MI
Other
Enumeration date
05/02/2018
Last updated
06/18/2018
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