Provider Demographics
NPI:1275202202
Name:FROHOCK, JENNIFER (MA LPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:FROHOCK
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3480 SUNNYDALE RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-2438
Mailing Address - Country:US
Mailing Address - Phone:586-292-6148
Mailing Address - Fax:
Practice Address - Street 1:3480 SUNNYDALE RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-2438
Practice Address - Country:US
Practice Address - Phone:586-292-6148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
6401007207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional