Individual provider · Type 1 NPI

Jacob Petrimoulx

Mental Health Counselor · Clinton Township, MI

NPI number 1851751705 Active

Practice location

44899 Centre Ct Ste 101
Clinton Township, MI 48038-5510

Call (586) 690-8331 Map

Mailing address

11837 Danforth Dr
Sterling Heights, MI 48312-2128

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6451022247 (MI)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1851751705

Jacob Petrimoulx's National Provider Identifier is 1851751705, issued on Mar 3, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clinton Township, MI. The record was last updated on Mar 14, 2023.