| Faded Jeans Therapy, Pllc | |
|
6499 Alward Dr Hudsonville MI 49426-9312 | |
| (517) 375-0040 | |
| Not Available |
| Full Name | Faded Jeans Therapy, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6499 Alward Dr, Hudsonville, Michigan |
| Authorized Official Name and Position | Hannah Kay Allen-miller (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5173750040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faded Jeans Therapy, Pllc 6499 Alward Dr Hudsonville MI 49426-9312 Ph: (517) 375-0040 | Faded Jeans Therapy, Pllc 6499 Alward Dr Hudsonville MI 49426-9312 Ph: (517) 375-0040 |
| NPI Number | 1558140897 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558140897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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