MRS. JENNY M CLEMENT LLCP
NPI 1215473830
Counselor - Professional in Petoskey, MI
Active since January 07, 2017
About Mrs. Jenny M Clement Llcp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNY M CLEMENT LLCP (NPI 1215473830) is an individual professional provider in Petoskey, Michigan, licensed in Michigan (6401018729) and active in the NPI registry since January 2017. She maintains a secondary practice location in Chesterfield.
NPPES Registry Identity
NPI1215473830
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JENNY M CLEMENTCredential: LLCP
Location Address704 EMMET ST.Petoskey, MI 49770
Mailing Address704 Emmet St.Petoskey, MI 49770 · (231) 347-5511
Phone(231) 347-5511
Sole ProprietorNo
Enumeration DateJanuary 7, 2017
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1215473830 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401018729
Also ListedCounselorTaxonomy 101Y00000X · License 6401018729 (MI)
Also ListedBehavior TechnicianTaxonomy 106S00000X
704 EMMET ST., Petoskey, MI 49770
Other Names 1
Former Name (1)Jenny M Webb
Secondary Practice Location 1
Location 153869 Connor DrChesterfield, MI 48051-3930 · Phone (773) 241-4009
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215473830, enumerated as an "individual" on January 07, 2017.
The provider is located at 704 EMMET ST. PETOSKEY, MI 49770 and the phone number is (231) 347-5511.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
