| Jill Amico, Ma, Lpc | |
|
805 Oakwood Dr Ste 210 Rochester MI 48307-1359 | |
| (248) 495-0977 | |
| Not Available |
| Full Name | Jill Amico, Ma, Lpc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 805 Oakwood Dr Ste 210, Rochester, Michigan |
| Authorized Official Name and Position | Jill Amico (COUNSELOR/OWNER) |
| Authorized Official Contact | 2484950977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Amico, Ma, Lpc 805 Oakwood Dr Ste 210 Rochester MI 48307-1359 Ph: (248) 495-0977 | Jill Amico, Ma, Lpc 805 Oakwood Dr Ste 210 Rochester MI 48307-1359 Ph: (248) 495-0977 |
| NPI Number | 1639886385 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639886385 | NPI | - | NPPES |
| 1457874281 | Other | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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