Jezreel Annah Babcock
Clinic/Center, Mental Health (Including Community Mental Health Center) in Reed City, MI. Individual provider (NPI-1).
NPI number1003547423
StatusActive
Last updated in NPPESJun 17, 2022
Details
- NPI
- 1003547423
- Entity type
- Individual (NPI-1)
- Name
- Jezreel Annah Babcock
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2022
- Certification date
- Jun 17, 2022
- Last updated
- Jun 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
4473 220th AveReed City, MI 49677-8593
Phone 253-844-1023
Mailing address
771 S Chestnut St Apt BReed City, MI 49677-1305
Phone 253-844-1023
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