Individual provider · Type 1 NPI

Susan E. Dettloff, LMSW

Mental Health Counselor · St. Clair Shores, MI

NPI number 1164580460 Active

Practice location

24715 Little Mack Ave, Ste. 200
St. Clair Shores, MI 48080-3207

Fax (586) 777-0823

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6801033706 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1164580460

Susan E. Dettloff, LMSW's National Provider Identifier is 1164580460, issued on Dec 5, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jul 8, 2007.