Provider Demographics
NPI:1801289996
Name:MORRIS, JENNIFER ELAINE (MA LPC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ELAINE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:17344 W 12 MILE RD STE 209
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-6321
Mailing Address - Country:US
Mailing Address - Phone:248-923-1408
Mailing Address - Fax:248-327-7152
Practice Address - Street 1:17344 W 12 MILE RD STE 209
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-6321
Practice Address - Country:US
Practice Address - Phone:248-923-1408
Practice Address - Fax:248-327-7152
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014755101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health