Organization · Type 2 NPI
Jennifer Bazner, Ma, LPC LLC
Mental Health Counselor · Grand Rapids, MI
NPI number
1750943262
Active
Practice location
4829 E Beltline Ave NE Bldg 1
Grand Rapids, MI 49525-9747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1750943262
Jennifer Bazner, Ma, LPC LLC's National Provider Identifier is 1750943262, issued on Jul 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 3, 2019.