Provider Demographics
NPI:1689117418
Name:JENNY BUYSSE COUNSELING AND CAREER CONSULTING PLLC
Entity Type:Organization
Organization Name:JENNY BUYSSE COUNSELING AND CAREER CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUYSSE
Authorized Official - Suffix:
Authorized Official - Credentials:MA,LPC,NCC,GCDF,BCC
Authorized Official - Phone:269-599-0849
Mailing Address - Street 1:6749 BUCKHORN ST
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-3316
Mailing Address - Country:US
Mailing Address - Phone:269-599-8049
Mailing Address - Fax:
Practice Address - Street 1:6749 BUCKHORN ST
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-3316
Practice Address - Country:US
Practice Address - Phone:269-599-8049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty