Mazaris, Jenelle

Mazaris, Jenelle is an individual health care provider with primary practice located at 705 S Main St Suite 280, Plymouth MI 48170-2089. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Mazaris, Jenelle can be contacted via phone (734) 454-3560.

Contact Information

Primary practice address
705 S Main St Suite 280 Plymouth MI 48170-2089
Fax: (734) 454-3570
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101006577 Michigan

Profile Details

NPI number 1700247962
LBN Legal business name Mazaris, Jenelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2016
Last updated Mar 16th, 2016 - about 10 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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