person
Ms. Jessica R Fasburg, LPC
Professional Counselor in Grand Rapids, Michigan
NPI 1356012249

Jessica R Fasburg is a Professional Counselor based in Grand Rapids, MI and is specialized in Professional. Jessica R Fasburg practices in Grand Rapids, MI and has the professional credentials of LPC. The NPI Number for Jessica R Fasburg is 1356012249 and holds a License No. 6401019406 (Michigan).

The current practice location address for Jessica R Fasburg is 300 68Th St Se, Grand Rapids, MI and can be reached out via phone at 616-258-7467 and via fax at 616-281-6459.

Location: 300 68Th St Se, Grand Rapids, MI, 49548-6927
person
Provider Profile Details
NPI Number
1356012249
Provider Name
Jessica R Fasburg
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
300 68Th St Se, Grand Rapids, MI, 49548-6927
Phone Number
616-258-7467
Fax Number
616-281-6459
Provider Enumeration Date
09/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 68Th St Se
City
State
Zip
49548-6927
Phone Number
616-258-7467
Fax Number
616-281-6459
person
Provider Business Mailing Address Details
Address
300 68Th St Se
City
State
Zip
49548-6927
Phone Number
616-258-7467
Fax Number
616-281-6459
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401019406 (Michigan)
Definition
Definition to come...
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