Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 524454149746 | MI |
NPI | 1083188601 |
---|---|
Provider Name | Juliano Donald Jean-Jules |
First Address | Holland, MI 49423-4285 |
Second Address | Holland, MI 49423-4285 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2019 |
Last Update Date | 16/01/2019 |