Provider Demographics
NPI:1225185689
Name:LAURICELLA, JENNIFER RENE (MA, LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:RENE
Last Name:LAURICELLA
Suffix:
Gender:F
Credentials:MA, LPC, NCC
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Mailing Address - Street 1:28000 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-2468
Mailing Address - Country:US
Mailing Address - Phone:586-753-0405
Mailing Address - Fax:586-753-0404
Practice Address - Street 1:3950 S ROCHESTER RD
Practice Address - Street 2:# 1400
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5160
Practice Address - Country:US
Practice Address - Phone:248-844-6234
Practice Address - Fax:248-844-6237
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2010-05-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor