institution
Jennifer Bazner, Ma, Lpc Llc
Mental Health Counselor in Grand Rapids, Michigan
NPI 1750943262

Jennifer Bazner, Ma, Lpc Llc is a Mental Health Counselor based in Grand Rapids, MI and is specialized in Mental Health. Jennifer Bazner, Ma, Lpc Llc practices in Grand Rapids, MI. The NPI Number for Jennifer Bazner, Ma, Lpc Llc is 1750943262 and holds a License No. (Michigan).

The current practice location address for Jennifer Bazner, Ma, Lpc Llc is 4829 E Beltline Ave Ne Bldg 1, Grand Rapids, MI and can be reached out via phone at 616-446-1117.

Location: 4829 E Beltline Ave Ne Bldg 1, Grand Rapids, MI, 49525-9747
institution
Provider Profile Details
NPI Number
1750943262
Provider Name
Jennifer Bazner, Ma, Lpc Llc
Credential
Provider Entity Type
Organization
Address
4829 E Beltline Ave Ne Bldg 1, Grand Rapids, MI, 49525-9747
Phone Number
616-446-1117
Fax Number
Provider Enumeration Date
07/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417134453 05 MI
institution
Provider Business Practice Location Address Details
Address
4829 E Beltline Ave Ne Bldg 1
City
State
Zip
49525-9747
Phone Number
616-446-1117
Fax Number
person
Provider Business Mailing Address Details
Address
4829 E Beltline Ave Ne Bldg 1
City
State
Zip
49525-9747
Phone Number
616-446-1117
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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