Jeff Ensroth

NPI #1992801302 in Algonac, Michigan

Provider Information

NPI Number: 1992801302
Entity Type: Individual
Name: Jeff Ensroth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 555 SAINT CLAIR RIVER DR
City: Algonac
State: Michigan
ZIP Code: 48001-1802
Phone: (810) 794-4982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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