Jaclynn George | Troy, MI • PECOS Search

Jaclynn George

Counselor

Behavioral Health & Social Service Providers

2501 Rochester Ct, Troy, MI 48083-1875

PECOS Enrollment

Based on the most recent information from CMS, provider Jaclynn George does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1013381797
Provider Type
Individual
Full Name
George, Jaclynn
Credential
L.L.P.C.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/18/2015
Last Updated
11/18/2015

Contact Information

Practice Location

2501 Rochester Ct, Troy, MI 48083-1875

Unlisted Fax

Mailing Location

3177 Newbury Pl, Troy, MI 48084-7033

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 6401014867 Michigan