Individual
DR. JESSICA LEE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 DIVERSON ST, SUITE 10 A, ROCHESTER HILLS, MI 48307-2273
(248) 608-9740
(248) 608-9752
Mailing address
20300 CIVIC CENTER DR, SUITE 303, SOUTHFIELD, MI 48076-4169
(248) 559-8190
(248) 559-8776
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PERMID6301013418L982
MI
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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