| Jaclyn Malek Ma Pllc | |
|
900 W University Dr Rochester MI 48307-1817 | |
| (248) 225-5690 | |
| Not Available |
| Full Name | Jaclyn Malek Ma Pllc |
|---|---|
| Speciality | Counselor |
| Location | 900 W University Dr, Rochester, Michigan |
| Authorized Official Name and Position | Jaclyn Malek (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2482255690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Malek Ma Pllc 507 E University Dr Apt 405 Rochester MI 48307-2158 Ph: (248) 225-5690 | Jaclyn Malek Ma Pllc 900 W University Dr Rochester MI 48307-1817 Ph: (248) 225-5690 |
| NPI Number | 1750954350 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/21/2021 |
| Certification Date | 07/21/2021 |
| Medicare PECOS PAC ID | 2567812746 |
|---|---|
| Medicare Enrollment ID | O20231229002618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750954350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jaclyn Malek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891075099 PECOS PAC ID: 3870944010 Enrollment ID: I20240111003453 |
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