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Jacob Petrimoulx
NPI 1851751705 · on the registry since 2016
Practice
- Address
- 44899 Centre Ct Ste 101
Clinton Township, MI 48038 - Phone
- (586) 690-8331
- Clinicians at this address
- 56
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-14
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