Individual provider · Type 1 NPI
Jane Elizabeth Detweiler, LPC
Professional Counselor · Grand Rapids, MI
NPI number
1740945328
Active
Practice location
4245 Knapp St NE
Grand Rapids, MI 49525-9666
Mailing address
300 68th St SE
Grand Rapids, MI 49548-6927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401009095 (MI) |
Professional Counselor: Definition to come...
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About NPI 1740945328
Jane Elizabeth Detweiler, LPC's National Provider Identifier is 1740945328, issued on Nov 8, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 8, 2021.