Individual
JACLYN NICOLE SUDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2010 HOGBACK RD STE 7A, ANN ARBOR, MI 48105-8800
(540) 435-9168
Mailing address
2010 HOGBACK RD STE 7A, ANN ARBOR, MI 48105-8800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012615
MI
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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