Jessica Prevost
NPI #1366900813 in Imlay City, Michigan
Provider Information
- NPI Number
- 1366900813
- Entity Type
- Individual
- Name
- Jessica Prevost
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 4, 2019
- Last Updated
- Apr 4, 2024
Practice Location
- Address
- 6672 NEWARK RD
- City
- Imlay City
- State
- Michigan
- ZIP Code
- 48444-9657
- Phone
- (248) 633-6538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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