Individual
JILLIAN CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMFT
Contact information
Practice address
28351 GRATIOT AVE STE 3, ROSEVILLE, MI 48066-4252
(586) 350-0400
Mailing address
28351 GRATIOT AVE STE 3, ROSEVILLE, MI 48066-4252
(586) 350-0400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4151000213
MI
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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