Individual
JESSICA FEALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1474 OAKSTONE DR, ROCHESTER HILLS, MI 48309-1750
(248) 242-5763
Mailing address
1474 OAKSTONE DR, ROCHESTER HILLS, MI 48309-1750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401013277
MI
Other
Enumeration date
12/31/2013
Last updated
10/02/2020
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