Individual
MS. JESSICA KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
15930 19 MILE RD STE 150, CLINTON TOWNSHIP, MI 48038-1155
(586) 281-5866
Mailing address
15930 19 MILE RD STE 150, CLINTON TOWNSHIP, MI 48038-1155
(586) 281-5866
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401224967
MI
101YM0800X
Mental Health Counselor
Primary
6401224967
MI
101YP2500X
Professional Counselor
6401224967
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982271748
—
MI
Enumeration date
06/09/2021
Last updated
05/05/2026
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