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MS. JACQUELINE NICOLE FETTES
NPI 1306380845
Counselor - Addiction (Substance Use Disorder) in Richmond, MI

Active since December 16, 2016
400 STODDARD RD, RICHMOND, MI 48062(810) 392-2167(810) 392-2057 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jacqueline Nicole Fettes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELINE NICOLE FETTES (NPI 1306380845) is an individual addiction (substance use disorder) provider in Richmond, Michigan and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1306380845
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JACQUELINE NICOLE FETTES
Location Address400 STODDARD RDRichmond, MI 48062-2505
Mailing Address134 Elizabeth StCroswell, MI 48422-1112 · (810) 712-9030
Phone(810) 392-2167
Fax(810) 392-2057
Sole ProprietorYes
Enumeration DateDecember 16, 2016
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1306380845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedPeer SpecialistTaxonomy 175T00000X
400 STODDARD RD, Richmond, MI 48062
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB PATTENAUDE
Social Worker (Clinical)
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KATIANNE ROSE MURPHY
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
AUTUMN LYNCH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KAY I JOHNSON
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
CORTEZ CODY GILES
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
JUSTIN JACOBSON
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MR. DOMINIC DEWAYNE SMITH
Peer Specialist
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KIRSTEN HEIMBACH
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Fettes's NPI number?

The NPI number for Jacqueline Fettes is 1306380845. It was assigned to this individual provider in the NPPES registry on December 16, 2016.

Where is Jacqueline Fettes located?

Jacqueline Fettes practices at 400 Stoddard Rd, Richmond, MI 48062. The listed phone number is (810) 392-2167.

What is Jacqueline Fettes's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacqueline Fettes was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.