| Jenna Lesondak, Licensed Clinical Social Worker Pc | |
|
72 Greenan Ln Lake Orion MI 48362-2175 | |
| (408) 256-2841 | |
| Not Available |
| Full Name | Jenna Lesondak, Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 72 Greenan Ln, Lake Orion, Michigan |
| Authorized Official Name and Position | Jenna Brianne Lesondak (OWNER) |
| Authorized Official Contact | 8312072055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Lesondak, Licensed Clinical Social Worker Pc 72 Greenan Ln Lake Orion MI 48362-2175 Ph: (831) 207-2055 | Jenna Lesondak, Licensed Clinical Social Worker Pc 72 Greenan Ln Lake Orion MI 48362-2175 Ph: (408) 256-2841 |
| NPI Number | 1306567029 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306567029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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