Organization
DOT TETREAULT, LMSW, ACSW PLLC
Active
Parent organization
DOT TETREAULT, LMSW, ACSW PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOT TETREAULT, LMSW, ACSW PLLC
Authorized official
DORORTHY E TETREAULT LMSW, ACSW (OWNER)
(517) 787-8170
Entity
Organization
Contact information
Practice address
569 WILDWOOD AVE, JACKSON, MI 49201-1048
(517) 787-8170
(517) 787-8170
Mailing address
569 WILDWOOD AVE, JACKSON, MI 49201-1048
(517) 787-8170
(517) 787-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801081579
MI
Other
Enumeration date
10/08/2011
Last updated
07/23/2014
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