Individual provider · Type 1 NPI

Jacqueline Nicole Fettes

Addiction (Substance Use Disorder) Counselor · Richmond, MI

NPI number 1306380845 Active

Practice location

400 Stoddard Rd
Richmond, MI 48062-2505

Call (810) 392-2167 Map

Fax (810) 392-2057

Mailing address

134 Elizabeth St
Croswell, MI 48422-1112

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1306380845

Jacqueline Nicole Fettes's National Provider Identifier is 1306380845, issued on Dec 16, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, MI. The record was last updated on Jan 8, 2024.