Healthcare Provider Details

I. General information

NPI: 1912529884
Provider Name (Legal Business Name): HANNAH KRISTYNE AVERY LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH KRISTYNE STARR

II. Dates (important events)

Enumeration Date: 05/13/2020
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 SPRING ARBOR RD
JACKSON MI
49203-3799
US

IV. Provider business mailing address

3101 SPRING ARBOR RD STE 100
JACKSON MI
49203-3799
US

V. Phone/Fax

Practice location:
  • Phone: 517-782-2442
  • Fax:
Mailing address:
  • Phone: 517-782-2442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6451025249
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: