Gennero, Jacelyn Marie

Gennero, Jacelyn Marie is an sole proprietor health care provider with primary practice located at 2387 E Walton Blvd , Auburn Hills MI 48326-1955. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gennero, Jacelyn Marie can be contacted via phone (248) 475-6300.

Contact Information

Primary practice address
2387 E Walton Blvd Auburn Hills MI 48326-1955
Fax: (248) 475-6302
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801085603 Michigan

Profile Details

NPI number 1104839687
LBN Legal business name Gennero, Jacelyn Marie
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Nov 29th, 2010 - about 14 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.

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