Individual
JENNIFER JO MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CADC
Contact information
Practice address
2512 HARTE DR, BRIGHTON, MI 48114-7002
(734) 478-3952
Mailing address
7880 WINTERFIELD DR, YPSILANTI, MI 48197-3193
(734) 478-3952
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-01694
MI
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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