Individual
JENNIFER LICHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAADC
Contact information
Practice address
25200 KELLY RD, ROSEVILLE, MI 48066-4473
(586) 422-1250
Mailing address
26703 PARKINGTON ST, ROSEVILLE, MI 48066-4029
(248) 662-8766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-02988
MI
Other
Enumeration date
03/13/2012
Last updated
08/03/2024
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