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Jason Poblacion
Professional Counselor in Waterford, Michigan
NPI 1619498235

Jason Poblacion is a Professional Counselor based in Waterford, MI and is specialized in Professional. Jason Poblacion practices in Waterford, MI. The NPI Number for Jason Poblacion is 1619498235 and holds a License No. 6401016154 (Michigan).

The current practice location address for Jason Poblacion is 1370 N Oakland Blvd Ste 105, Waterford, MI and can be reached out via phone at 248-666-8870.

Location: 1370 N Oakland Blvd Ste 105, Waterford, MI, 48327-1572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619498235
Provider Name
Jason Poblacion
Credential
Provider Entity Type
Individual
Gender
Male
Address
1370 N Oakland Blvd Ste 105, Waterford, MI, 48327-1572
Phone Number
248-666-8870
Fax Number
Provider Enumeration Date
07/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1370 N Oakland Blvd Ste 105
City
Waterford
State
Michigan
Zip
48327-1572
Phone Number
248-666-8870
Fax Number
person
Provider Business Mailing Address Details
Address
1370 N Oakland Blvd Ste 105
City
Waterford
State
Michigan
Zip
48327-1572
Phone Number
248-666-8870
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401016154 (Michigan)
Definition
Definition to come...
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