SearchMichigan101YP2500X

Justin Fittonneville, MA, LPC, NCC

NPI 1609347533 · on the registry since 2018 · sole proprietor

Practice

Address
4000 W Walton Blvd Ste A&B
Waterford, MI 48329
Phone
(248) 461-6266
Organisation at this address
Waterford Family Chiropractic Pllc
Lifelens Psychological And Counseling Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan