Organization
JLJ CLINICAL PSYCHOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA LEE JENKINS PH.D. (OWNER)
(248) 506-9515
Entity
Organization
Contact information
Practice address
200 DIVERSION ST, SUITE 150, ROCHESTER HILLS, MI 48307-2267
(248) 506-9515
Mailing address
200 DIVERSION ST, SUITE 150, ROCHESTER HILLS, MI 48307-2267
(248) 506-9515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013418
MI
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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