Provider Demographics
NPI:1073101317
Name:INKANSAH COUNSELING PLLC
Entity Type:Organization
Organization Name:INKANSAH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:JACKSON NKANSAH
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC, LLMFT
Authorized Official - Phone:269-224-1519
Mailing Address - Street 1:1206 MERRILL ST APT 1
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-1384
Mailing Address - Country:US
Mailing Address - Phone:269-224-2159
Mailing Address - Fax:
Practice Address - Street 1:417 FOREST ST # 444
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-2747
Practice Address - Country:US
Practice Address - Phone:269-224-1519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)