| Doctor Name: | JESSICA A CARNES |
| NPI Number: | 1679751887 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SST |
| License Number: | 6803084730 |
| Business Practice Address: | 6051 Frankfort Hwy Benzonia, MI - 496169558 |
| Business Phone Number: | 8773982013 |
| Business Fax Number: | 2318822360 |
| Mailing Address: | 364 N Michigan Ave, BEULAH |
| State: | MI |
| Postal Code: | 496179296 |
| Phone Number: | 2318824373 |
| Fax Number: | |
| NPI Enumeration Date: | 02/11/2008 |
| NPI Last Update Date: | 02/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6803084730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |