Provider Demographics
NPI:1891946554
Name:CHIEN, JENNY LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:LYNN
Last Name:CHIEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:LYNN
Other - Last Name:MOULTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 CASCADE WEST PKWY SE STE 240
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-2166
Mailing Address - Country:US
Mailing Address - Phone:616-591-9000
Mailing Address - Fax:616-432-3059
Practice Address - Street 1:500 CASCADE WEST PKWY SE STE 240
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-2166
Practice Address - Country:US
Practice Address - Phone:616-591-9000
Practice Address - Fax:616-432-3059
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH5541101YM0800X
MI6401016220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health