Individual
DR. CHRISTINA JAKSA COLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
31000 TELEGRAPH RD, SUITE 120, BINGHAM FARMS, MI 48025-4360
(248) 594-4991
Mailing address
32417 HEARTHSTONE RD, FARMINGTON HILLS, MI 48334-3473
(586) 944-6379
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301012781
MI
103TC0700X
Clinical Psychologist
Primary
6301014641
MI
Other
Enumeration date
10/23/2006
Last updated
05/09/2024
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