Individual
KRISTI LEE TIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42850 GARFIELD RD STE 103, CLINTON TOWNSHIP, MI 48038-5026
(586) 477-2054
Mailing address
525 OKEMOS ST, MASON, MI 48854-1224
(175) 833-8100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
08/07/2025
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