Deckert, Jennifer

Deckert, Jennifer is an individual health care provider with primary practice located at 41 Washington Ave Ste 367 , Grand Haven MI 49417-1378. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Deckert, Jennifer can be contacted via phone (616) 405-4733.

Contact Information

Primary practice address
41 Washington Ave Ste 367 Grand Haven MI 49417-1378
Fax: (616) 935-1288
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401010262 Michigan

Profile Details

NPI number 1871966275
LBN Legal business name Deckert, Jennifer
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2015
Last updated Apr 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871966275 NPPES
Michigan Other 1487902003 TYPE 2 NPI

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