Individual
JACQUELINE J MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
189 W CLARKSTON RD, LAKE ORION, MI 48362-2892
(844) 642-9273
Mailing address
25110 WATERLEAF LN, FLAT ROCK, MI 48134-8814
(248) 835-3028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022373
MI
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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