Individual provider · Type 1 NPI

Jennifer G. London, LPC NCC CAADC

Professional Counselor · Grand Rapids, MI

NPI number 1689943581 Active

Practice location

1514 Wealthy St. SE
Grand Rapids, MI 49506

Call (616) 485-5952 Map

Fax (616) 451-3070

Mailing address

1514 Wealthy St SE, Suite 260
Grand Rapids, MI 49506-2762

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X204309 (MI)
Professional Counselor Primary 101YP2500X6401010366 (MI)

Professional Counselor: Definition to come...

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About NPI 1689943581

Jennifer G. London, LPC NCC CAADC's National Provider Identifier is 1689943581, issued on Dec 21, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 1, 2013.