| Dot Tetreault, Lmsw, Acsw Pllc | |
|
569 Wildwood Ave Jackson MI 49201-1048 | |
| (517) 787-8170 | |
| (517) 787-8170 |
| Full Name | Dot Tetreault, Lmsw, Acsw Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 569 Wildwood Ave, Jackson, Michigan |
| Authorized Official Name and Position | Dororthy E Tetreault (OWNER) |
| Authorized Official Contact | 5177878170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dot Tetreault, Lmsw, Acsw Pllc 569 Wildwood Ave Jackson MI 49201-1048 Ph: (517) 787-8170 | Dot Tetreault, Lmsw, Acsw Pllc 569 Wildwood Ave Jackson MI 49201-1048 Ph: (517) 787-8170 |
| NPI Number | 1528342516 |
|---|---|
| Provider Enumeration Date | 10/08/2011 |
| Last Update Date | 07/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528342516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6801081579 (Michigan) | Primary |
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