Graham, Jennifer Renee

Graham, Jennifer Renee is an sole proprietor health care provider with primary practice located at 803 S 8Th Ave , Alpena MI 49707-2933. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Graham, Jennifer Renee can be contacted via phone (903) 283-7150.

Contact Information

Primary practice address
803 S 8Th Ave Alpena MI 49707-2933
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401018413 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401018413 Michigan
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401018413 Michigan

Profile Details

NPI number 1225656671
LBN Legal business name Graham, Jennifer Renee
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2020
Last updated Nov 29th, 2022 - about 2 years ago

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 1225656671 NPPES
Michigan MEDICAID 1225656671

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