| Jenison Psychological Services Of Michigan | |
|
1836 Baldwin St Jenison MI 49428-8901 | |
| (616) 457-0016 | |
| Not Available |
| Full Name | Jenison Psychological Services Of Michigan |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1836 Baldwin St, Jenison, Michigan |
| Authorized Official Name and Position | Leslie Johnson (CEO) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenison Psychological Services Of Michigan 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (616) 457-0016 | Jenison Psychological Services Of Michigan 1836 Baldwin St Jenison MI 49428-8901 Ph: (616) 457-0016 |
| NPI Number | 1346007697 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346007697 | NPI | - | NPPES |
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