Individual provider · Type 1 NPI
Jennifer Lynn Imbault, MA, LLPC
Mental Health Counselor · Muskegon, MI
NPI number
1093930141
Active
Practice location
200 Holton Rd, Unit D
Muskegon, MI 49445-3349
Fax (231) 744-5100
Mailing address
PO Box 304
Whitehall, MI 49461-0304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401010258 (MI) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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- Heather Jo Brown, LPCMental Health Counselor Muskegon, MI NPI 1124418439
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About NPI 1093930141
Jennifer Lynn Imbault, MA, LLPC's National Provider Identifier is 1093930141, issued on Apr 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Muskegon, MI. The record was last updated on Jul 8, 2007.