Healthcare Provider Details

I. General information

NPI: 1801750179
Provider Name (Legal Business Name): JENNIFER YANCER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 LOUANNA ST
MIDLAND MI
48640-4422
US

IV. Provider business mailing address

5851 BAY RD STE 2
SAGINAW MI
48604-2505
US

V. Phone/Fax

Practice location:
  • Phone: 989-878-0255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: