Organization
ILLUMINATIONS CHRISTIAN COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER G GILLETTE LMSW, OSW-C (SOCIAL WORKER/PSYCHOTHERAPIST)
(248) 224-2930
Entity
Organization
Contact information
Practice address
1157 SHADOW DR, TROY, MI 48085-1779
(248) 224-2930
Mailing address
1157 SHADOW DR, TROY, MI 48085-1779
(248) 224-2930
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6801081393
MI
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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