DOT TETREAULT LMSW ACSW PLLC NPI 1528342516

NPI Information

NPI: 1528342516
Provider Name: DOT TETREAULT, LMSW, ACSW PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
569 WILDWOOD AVE
JACKSON, MI
ZIP 49201
Phone: (517) 787-8170
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DOT TETREAULT, LMSW, ACSW PLLC is a mental health counselor in Jackson, MI. DOT TETREAULT, LMSW, ACSW PLLC NPI is 1528342516. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

569 WILDWOOD AVE
JACKSON, MI
ZIP 49201-048
Phone: (517) 787-8170
Fax: (517) 787-8170

The provider's authorized official is Dororthy E Tetreault .
The authorized official title is Owner and has the following contact phone number (517) 787-8170.

The enumeration date for this NPI number is 10/8/2011 and was last updated on 7/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	6801081579	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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