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Ms. Jacqueline Nicole Fettes
Addiction (Substance Use Disorder) Counselor in Richmond, Michigan
NPI 1306380845

Jacqueline Nicole Fettes is an Addiction (Substance Use Disorder) Counselor based in Croswell, MI and is specialized in Addiction (Substance Use Disorder). Jacqueline Nicole Fettes practices in Richmond, MI. The NPI Number for Jacqueline Nicole Fettes is 1306380845 and holds a License No. (Michigan).

The current practice location address for Jacqueline Nicole Fettes is 400 Stoddard Rd, Richmond, MI and can be reached out via phone at 810-392-2167 and via fax at 810-392-2057.

Location: 400 Stoddard Rd, Richmond, MI, 48422-1112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306380845
Provider Name
Jacqueline Nicole Fettes
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 Stoddard Rd, Richmond, MI, 48422-1112
Phone Number
810-392-2167
Fax Number
810-392-2057
Provider Enumeration Date
12/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 Stoddard Rd
City
Richmond
State
Michigan
Zip
48062-2505
Phone Number
810-392-2167
Fax Number
810-392-2057
person
Provider Business Mailing Address Details
Address
400 Stoddard Rd
City
Richmond
State
Michigan
Zip
48062-2505
Phone Number
810-392-2167
Fax Number
810-392-2057
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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