Provider Demographics
NPI:1225675655
Name:FEIL, JENNIFER (LLPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:FEIL
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:PELLECCHIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32767 OAKVILLE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-1954
Mailing Address - Country:US
Mailing Address - Phone:586-322-4108
Mailing Address - Fax:
Practice Address - Street 1:32901 23 MILE RD STE 190
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-4064
Practice Address - Country:US
Practice Address - Phone:248-759-8092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401017752101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor