Elyoussef, Jacquelyn

Elyoussef, Jacquelyn is an individual health care provider with primary practice located at 3930 Academy St , Dearborn Heights MI 48125. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Technologists, Technicians & Other Technical Service Providers / Technician, Other is her primary health care specialty. Elyoussef, Jacquelyn can be contacted via phone (313) 804-1888.

Contact Information

Primary practice address
3930 Academy St Dearborn Heights MI 48125
Phone: (313) 804-1888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X E421356080673 Michigan
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1558811331
LBN Legal business name Elyoussef, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2016
Last updated Jul 19th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers