Individual
JENNIFER E MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 TORREY RD STE 100, FENTON, MI 48430-3327
(810) 494-7180
(810) 215-1334
Mailing address
1328 WILLIAMSBURG RD, FLINT, MI 48507-5628
(810) 986-3700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017315
MI
Other
Enumeration date
07/16/2019
Last updated
10/05/2021
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