Individual
JASON POBLACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1370 N OAKLAND BLVD STE 105, WATERFORD, MI 48327-1572
(248) 666-8870
Mailing address
1370 N OAKLAND BLVD STE 105, WATERFORD, MI 48327-1572
(248) 666-8870
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016154
MI
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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