Organization
JILL AMICO, MA, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL AMICO MA, LPC (COUNSELOR/OWNER)
(248) 495-0977
Entity
Organization
Contact information
Practice address
805 OAKWOOD DR STE 210, ROCHESTER, MI 48307-1359
(248) 495-0977
Mailing address
805 OAKWOOD DR STE 210, ROCHESTER, MI 48307-1359
(248) 495-0977
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457874281
TYPE 1 NPI
—
Enumeration date
11/02/2022
Last updated
05/06/2024
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