Individual provider · Type 1 NPI
Justin Fittonneville, MA, LPC, NCC
Professional Counselor · Waterford, MI
NPI number
1609347533
Active
Practice location
4000 W Walton Blvd Ste A&b
Waterford, MI 48329-4191
Mailing address
4000 W Walton Blvd Ste A
Waterford, MI 48329-4191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401014329 (MI) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1609347533
Justin Fittonneville, MA, LPC, NCC's National Provider Identifier is 1609347533, issued on Dec 17, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waterford, MI. The record was last updated on Aug 8, 2019.