Jacquelyn Marie Provenzola LLMSW

  • NPI 1477114957
According to our database, the NPI number for Jacquelyn Marie Provenzola LLMSW is 1477114957 and activated since 4 years ago. Jacquelyn Marie Provenzola LLMSW is an individual provider who specializes in Clinical, and the primary practice location is 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114. You can also contact Jacquelyn Marie Provenzola LLMSW via telephone number is (810) 494-7180. Provider NPI information was last updated on 06/25/2019.

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Overview of Jacquelyn Marie Provenzola LLMSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/25/2019
  • Last updated: 06/25/2019

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 6801105007
  • License State: unknow

Provider Mailing Address

  • Address: 1100 Torrey Rd Ste 100
    Fenton, MI 48430
  • Phone: 810-494-7180
  • Fax: 810-215-1334

Provider Practice Location

  • Address: 2200 Genoa Business Park Dr Ste 100
    Brighton, MI 48114
  • Phone: 810-494-7180
  • Fax: 810-215-1334

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 6801105007
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jacquelyn Marie Provenzola LLMSW?
  • A: The npi number for Jacquelyn Marie Provenzola LLMSW is 1477114957.
  • Q: What are Jacquelyn Marie Provenzola LLMSW's specialties?
  • A: Jacquelyn Marie Provenzola LLMSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Jacquelyn Marie Provenzola LLMSW?
  • A: The medical license number for Jacquelyn Marie Provenzola LLMSW is 6801105007 and issued in unknow in USA.
  • Q: Where is Jacquelyn Marie Provenzola LLMSW practice location?
  • A: Jacquelyn Marie Provenzola LLMSW is practicing at 2200 Genoa Business Park Dr Ste 100, Brighton, MI 48114.
  • Q: How to contact Jacquelyn Marie Provenzola LLMSW?
  • A: You can contact Jacquelyn Marie Provenzola LLMSW via 810-494-7180.