Individual
JAIME LYNN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LLP, CAADC
Contact information
Practice address
14800 FARMINGTON RD STE 109, LIVONIA, MI 48154-5464
(313) 530-4656
(313) 539-8921
Mailing address
14800 FARMINGTON RD STE 109, LIVONIA, MI 48154-5464
(313) 530-4656
(313) 539-8921
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-01630
MI
103T00000X
Psychologist
Primary
6361000780
MI
103TC0700X
Clinical Psychologist
6361000780
MI
Other
Enumeration date
09/25/2007
Last updated
11/18/2025
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