SearchMichigan1041C0700X

Jenna Mathis, LMSW

NPI 1841052263 · on the registry since 2024

Practice

Address
2680 W Centre Ave
Portage, MI 49024
Phone
(269) 324-0576
Clinicians at this address
16

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan