Jillian Cantrell, LLMFT
Marriage & Family Therapist in Roseville, MI. Individual provider (NPI-1).
NPI number1164046215
StatusActive
Last updated in NPPESJun 4, 2020
Details
- NPI
- 1164046215
- Entity type
- Individual (NPI-1)
- Name
- Jillian Cantrell
- Credential
- LLMFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2020
- Certification date
- Jun 4, 2020
- Last updated
- Jun 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4151000213 | MI | Yes |
Practice location
28351 Gratiot Ave Ste 3Roseville, MI 48066-4252
Phone 586-350-0400
Mailing address
28351 Gratiot Ave Ste 3Roseville, MI 48066-4252
Phone 586-350-0400
Other practice locations
34841 Veterans Plz
Wayne, MI 48184-1733
Wayne, MI 48184-1733
Phone 313-292-7640
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