MEDICARE: JOCELYN NICOLE PACHAL LLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6401011652	MI

General Provider Information

NPI Number	:	1881918555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN NICOLE PACHAL LLPC

Provider Business Mailing Address
First Line	:	39520 WOODWARD AVE
Second Line	:	STE 210
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48304-5054
Country	:	US
Telephone Number	:
Fax Number	:	248-647-1053

Provider Business Practice Location Address
First Line	:	39520 WOODWARD AVE
Second Line	:	STE 210
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48304-5054
Country	:	US
Telephone Number	:	248-371-2298
Fax Number	:	248-647-1053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2010
Last Update Date	:	06/24/2012

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