Jacob B Nienhuis, Ph.D.
Psychologist, Counseling in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1982193256
StatusActive
Last updated in NPPESJun 18, 2018
Details
- NPI
- 1982193256
- Entity type
- Individual (NPI-1)
- Name
- Jacob B Nienhuis
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 2, 2018
- Last updated
- Jun 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 6301016354 | MI | Yes |
Practice location
4488 Jackson Rd Ste 7bAnn Arbor, MI 48103
Phone 616-856-0294
Mailing address
18 W Warner StYpsilanti, MI 48197-4709
Phone 616-856-0294
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