Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Myranda Jennings

Individual provider Counselor · NPI 1104364124

Myranda Jennings is a Counselor in Southfield, Michigan. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

17320 W 12 Mile Rd
Southfield, MI 48076-2100
Phone: (586) 806-9726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1104364124
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2017
Last updated in NPPESFebruary 9, 2017

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