Individual
JESSICA LYNN TOBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
248 FERRY LN, SAINT IGNACE, MI 49781-1828
(906) 984-2080
(906) 984-2109
Mailing address
36 WOOD LAKE RD, KINCHELOE, MI 49788-1128
(906) 203-7790
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
MI
Enumeration date
02/20/2023
Last updated
02/20/2023
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