Kofender, Jill Leslie
Kofender, Jill Leslie is an individual health care provider with primary practice located at 5640 West Maple Rd Suite 205, West Bloomfield MI 48322-3718. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kofender, Jill Leslie can be contacted via phone (248) 867-8766.Contact Information
Primary practice address
5640 West Maple Rd Suite 205
West Bloomfield MI 48322-3718
Phone: (248) 867-8766
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301012830 | Michigan |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301012830 | Michigan |
Profile Details
| NPI number | 1912107020 |
|---|---|
| LBN Legal business name | Kofender, Jill Leslie |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Nov 25th, 2015 - about 11 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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