Individual
JACLYNN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.L.P.C.
Contact information
Practice address
2501 ROCHESTER CT, TROY, MI 48083-1875
(248) 266-0453
Mailing address
3177 NEWBURY PL, TROY, MI 48084-7033
(248) 266-0453
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014867
MI
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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