Provider Demographics
NPI:1679723167
Name:J&A COUNSELING AND EVALUATIONS, INC.
Entity Type:Organization
Organization Name:J&A COUNSELING AND EVALUATIONS, INC.
Other - Org Name:JACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:CHANDRA
Authorized Official - Last Name:CVOLK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:989-631-4092
Mailing Address - Street 1:2603 W WACKERLY ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6903
Mailing Address - Country:US
Mailing Address - Phone:989-631-4092
Mailing Address - Fax:989-631-4991
Practice Address - Street 1:2603 W WACKERLY ST UNIT B
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6903
Practice Address - Country:US
Practice Address - Phone:989-631-4092
Practice Address - Fax:989-631-4991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI560042251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health