Lisiecki, Jacqueline Rene

Lisiecki, Jacqueline Rene is an individual health care provider with primary practice located at 7960 Grand River Rd 120, Brighton MI 48114-7330. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lisiecki, Jacqueline Rene can be contacted via phone (810) 227-1999.

Contact Information

Primary practice address
7960 Grand River Rd 120 Brighton MI 48114-7330
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801059141 Michigan

Profile Details

NPI number 1538286471
LBN Legal business name Lisiecki, Jacqueline Rene
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538286471 NPPES
Michigan Other 047108 VALUE OPTIONS

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