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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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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