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Jessica Sue Penhale
Mental Health Counselor in Detroit, Michigan
NPI 1720734015

Jessica Sue Penhale is a Mental Health Counselor based in Ann Arbor, MI and is specialized in Mental Health. Jessica Sue Penhale practices in Detroit, MI. The NPI Number for Jessica Sue Penhale is 1720734015 and holds a License No. (Michigan).

The current practice location address for Jessica Sue Penhale is 707 W Milwaukee St, Detroit, MI and can be reached out via phone at 313-488-4673.

Location: 707 W Milwaukee St, Detroit, MI, 48104-2414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720734015
Provider Name
Jessica Sue Penhale
Credential
Provider Entity Type
Individual
Gender
Female
Address
707 W Milwaukee St, Detroit, MI, 48104-2414
Phone Number
313-488-4673
Fax Number
Provider Enumeration Date
02/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
707 W Milwaukee St
City
Detroit
State
Michigan
Zip
48202-2943
Phone Number
313-488-4673
Fax Number
person
Provider Business Mailing Address Details
Address
707 W Milwaukee St
City
Detroit
State
Michigan
Zip
48202-2943
Phone Number
313-488-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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