Individual
JENNIFER REBECCA MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 W WALTON BLVD STE A-B, WATERFORD, MI 48329-4191
(248) 461-6266
(248) 461-6304
Mailing address
4000 W WALTON BLVD STE A-B, WATERFORD, MI 48329-4191
(248) 387-9061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401019048
MI
101YM0800X
Mental Health Counselor
Primary
6401019048
MI
101YP2500X
Professional Counselor
6401016347
MI
Other
Enumeration date
04/08/2019
Last updated
03/20/2026
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