Doctor Name: | JILL LAURA MORELL |
NPI Number: | 1619215639 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 6401012399 |
Business Practice Address: | 234 1/2 Washington Ave Grand Haven, MI - 494173307 |
Business Phone Number: | 6166074476 |
Business Fax Number: | 6169357177 |
Mailing Address: | 234 1/2 Washington Ave, GRAND HAVEN |
State: | MI |
Postal Code: | 494173307 |
Phone Number: | 6166074476 |
Fax Number: | 6169357177 |
NPI Enumeration Date: | 01/25/2013 |
NPI Last Update Date: | 01/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401012399 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |