Individual
THERESA VAN FLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 347-5511
(231) 347-5422
Mailing address
2225 OPAL LAKE RD, GAYLORD, MI 49735-7633
(240) 575-8877
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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