Quenneville, Caitlin Therese

Quenneville, Caitlin Therese is an individual health care provider with primary practice located at 18316 Middlebelt , Livonia MI 48152. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Quenneville, Caitlin Therese can be contacted via phone (248) 615-9730.

Contact Information

Primary practice address
18316 Middlebelt Livonia MI 48152
Phone: (248) 615-9730
Fax: (248) 615-1260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801094854 Michigan

Profile Details

NPI number 1497075170
LBN Legal business name Quenneville, Caitlin Therese
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2010
Last updated Aug 5th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497075170 NPPES
Oregon MEDICAID 197749

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