Search › Michigan › 103TC0700X
Lauren Jacob, MA, TLLP
NPI 1518300847 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2351 W. 12 Mile Rd.
Berkley, MI 48072 - Phone
- (248) 544-4004
- Fax
- (248) 544-4113
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan