SearchMichigan106H00000X

Jenelle Mazaris

NPI 1700247962 · on the registry since 2016

Practice

Address
705 S Main St
Suite 280
Plymouth, MI 48170
Phone
(734) 454-3560
Fax
(734) 454-3570
Organisation at this address
Therapy Staff
Invitro Genetics, Llc
Resilience Coach, Llc
Meraki Autism Center, Llc
Heron Ridge Associates Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
72

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-16

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