Provider Demographics
NPI:1538917075
Name:SAED, JENNIFER ASHLEY (LLPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ASHLEY
Last Name:SAED
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 TIMBER RIDGE TRL SW APT 3
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-4268
Mailing Address - Country:US
Mailing Address - Phone:989-751-0404
Mailing Address - Fax:
Practice Address - Street 1:7791 BYRON CENTER AVE SW
Practice Address - Street 2:
Practice Address - City:BYRON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-8412
Practice Address - Country:US
Practice Address - Phone:616-499-4711
Practice Address - Fax:888-336-9355
Is Sole Proprietor?:No
Enumeration Date:2024-05-09
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023686101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health