Fettes, Jacqueline Nicole

Fettes, Jacqueline Nicole is an sole proprietor health care provider with primary practice located at 400 Stoddard Rd , Richmond MI 48062-2505. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Fettes, Jacqueline Nicole can be contacted via phone (810) 392-2167.

Contact Information

Primary practice address
400 Stoddard Rd Richmond MI 48062-2505
Phone: (810) 392-2167
Fax: (810) 392-2057
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1306380845
LBN Legal business name Fettes, Jacqueline Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2016
Last updated Jan 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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