Individual
JENNIFER MACQUARRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N TELEGRAPH RD, BUILDING 32 EAST, PONTIAC, MI 48341-1032
(248) 456-8150
Mailing address
721 GREEN RD APT 215, YPSILANTI, MI 48198-3423
(248) 296-9316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401015375
MI
103TC0700X
Clinical Psychologist
Primary
6301018807
MI
Other
Enumeration date
05/12/2016
Last updated
01/20/2021
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