| Doctor Name: | JENNIFER LYNNE BOBICZ |
| NPI Number: | 1003127069 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC, NCC |
| License Number: | 6401008655 |
| Business Practice Address: | 1541 Washtenaw Ave Ann Arbor, MI - 481043122 |
| Business Phone Number: | 7343553140 |
| Business Fax Number: | |
| Mailing Address: | 13413 Dixon Rd, DUNDEE |
| State: | MI |
| Postal Code: | 481319721 |
| Phone Number: | 7343553140 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2010 |
| NPI Last Update Date: | 06/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401008655 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |