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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUETTA STEPHEN

Active Sole Proprietor

JACQUETTA STEPHEN is a Community/Behavioral Health healthcare provider located in FLINT, Michigan. NPI 1902282411 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · FLINT, MI

Registration Details

NPI Number
1902282411
Provider Type
Individual
Gender
Female
NPI Issued
Aug 6, 2015 (11.051509129234 yrs)
Last Updated
Aug 6, 2015
Sole Proprietor
Yes

Practice Information

Address
304 W TOBIAS ST
FLINT, MI, 485033975
Browse MI providers · Browse ZIP 48503
Phone
8102334093
Fax
8102334964
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in FLINT, MI

Name Credential NPI
MR. MATTHEW SHANE OWENS M.A. 1497883979
MR. MELVIN KENNETH LESTER 1003251331
MRS. BRENDA MARIE KLEINKNECHT 1659716926
GORDON LEE SHERMAN 1760821367
SHAWNA CANNON 1669855201
MARCI MOORE 1831565159
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.