Individual
SCOTT MICHAEL PRICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N WEST AVE STE 300, JACKSON, MI 49202-2180
(517) 789-1234
Mailing address
1200 N WEST AVE STE 300, JACKSON, MI 49202-2180
(517) 789-1234
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010516
MI
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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