Individual
FAITH MARIE LILLEMOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
350 N MAIN ST STE 220, CHELSEA, MI 48118-1635
(734) 433-5100
Mailing address
1042 LONG LAKE DR, BRIGHTON, MI 48114-9641
(248) 660-6014
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6362010369
MI
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
06/04/2026
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