Individual
MISS JENNIFER RENE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
Mailing address
18710 VAN HORN RD APT 103, WOODHAVEN, MI 48183-3800
(734) 925-3896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MI
Other
Enumeration date
02/23/2013
Last updated
02/23/2013
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