| Michelle Petz Llc | |
|
25 W Main St Fremont MI 49412-1186 | |
| (231) 202-2772 | |
| (231) 486-5719 |
| Full Name | Michelle Petz Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 25 W Main St, Fremont, Michigan |
| Authorized Official Name and Position | Michelle Rene Petz (COUNSELOR) |
| Authorized Official Contact | 2315197555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Petz Llc 25 W Main St Fremont MI 49412-1186 Ph: (231) 202-2772 | Michelle Petz Llc 25 W Main St Fremont MI 49412-1186 Ph: (231) 202-2772 |
| NPI Number | 1255923991 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255923991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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