Individual
JESSICA MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29220 LORIKAY ST, FARMINGTON HILLS, MI 48334-2844
(248) 702-4904
Mailing address
29220 LORIKAY ST, FARMINGTON HILLS, MI 48334-2844
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401225625
MI
Other
Enumeration date
06/18/2022
Last updated
10/12/2025
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