Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 6401011110 | MI |
N | 101YS0200X | School Counselor | SC0000721 | MI |
NPI | 1124692900 |
---|---|
Provider Name | Rashonda Jamerson |
First Address | Canton, MI 48188-2324 |
Second Address | Canton, MI 48188-2324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2021 |
Last Update Date | 17/05/2021 |