Individual
DIANA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LLP
Contact information
Practice address
888 W BIG BEAVER RD STE 1450, TROY, MI 48084-4762
(248) 244-8644
(248) 244-1330
Mailing address
43357 DANIEL DR, VAN BUREN TWP, MI 48111-5378
(248) 244-8644
(248) 244-1330
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301009026
MI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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