MEDICARE: JUNIPER GROUP CO, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1366233470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUNIPER GROUP CO, LLC

Provider Business Mailing Address
First Line	:	2531 JACKSON AVE # 146
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-3818
Country	:	US
Telephone Number	:	734-277-4577
Fax Number	:

Provider Business Practice Location Address
First Line	:	3570 DEXTER ANN ARBOR RD
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-1619
Country	:	US
Telephone Number	:	734-277-4577
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JENNIFER ELAINE MITCHELL
Credential	:	LPC, CCS, CAADC
Telephone Number	:	734-277-4577

Provider Enumeration Date	:	05/16/2025
Last Update Date	:	05/16/2025

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Directions to “JUNIPER GROUP CO, LLC ” Practice Location

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