Dettloff-Jones, Stacey Marie

Dettloff-Jones, Stacey Marie is an individual health care provider with primary practice located at 1410 E 14 Mile Rd Suite 900, Madison Heights MI 48071-1541. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dettloff-Jones, Stacey Marie can be contacted via phone (248) 524-8801.

Contact Information

Primary practice address
1410 E 14 Mile Rd Suite 900 Madison Heights MI 48071-1541
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401008747 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301013080 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6802072238 Michigan

Profile Details

NPI number 1598956369
LBN Legal business name Dettloff-Jones, Stacey Marie
Credentials MA LPC LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2007
Last updated Aug 7th, 2007 - about 18 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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