Olivia Jewell, LLPC

NPI #1538718721 in Jackson, Michigan

Provider Information

NPI Number: 1538718721
Entity Type: Individual
Name: Olivia Jewell, LLPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: LLPC
Enumeration Date: Sep 10, 2019
Last Updated: Nov 19, 2021

Practice Location

Address: 1200 N WEST AVE STE 300
City: Jackson
State: Michigan
ZIP Code: 49202-2174
Phone: (517) 789-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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