Individual
JENNA MCCARTY TIMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
31170 HAGGERTY RD, FARMINGTON HILLS, MI 48331-5804
(248) 661-8500
Mailing address
31170 HAGGERTY RD, FARMINGTON HILLS, MI 48331-5804
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401016130
—
MI
Enumeration date
08/23/2017
Last updated
06/16/2018
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