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
Phone: (616) 405-4733
Fax: (616) 935-1288
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871966275 | NPPES |
Michigan | Other | 1487902003 | TYPE 2 NPI |
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