Individual
PHAEDRA NOELLE BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1063 S STATE RD STE 6, DAVISON, MI 48423-1900
(810) 673-7211
Mailing address
9427 NASHUA TRL, FLUSHING, MI 48433-8837
(810) 287-1425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401008276
MI
101YP2500X
Professional Counselor
Primary
6401008276
MI
Other
Enumeration date
07/10/2006
Last updated
01/12/2024
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