Individual provider · Type 1 NPI

Jessica Rose Bonneville, MA, LPC

Professional Counselor · Okemos, MI

NPI number 1578071841 Active

Practice location

3899 Okemos Rd Ste A1
Okemos, MI 48864-3666

Call (517) 507-5892 Map

Fax (517) 258-2951

Mailing address

111 N Clinton Ave Apt 5
St. Johns, MI 48879-1529

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1578071841

Jessica Rose Bonneville, MA, LPC's National Provider Identifier is 1578071841, issued on Jan 19, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Okemos, MI. The record was last updated on Mar 26, 2024.