Provider Demographics
NPI:1255844221
Name:TREMONTI, JENNIFER L (MA, LLPC, SCL)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:L
Last Name:TREMONTI
Suffix:
Gender:F
Credentials:MA, LLPC, SCL
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:ADKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6549 TOWN CENTER DR STE A
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-4824
Mailing Address - Country:US
Mailing Address - Phone:248-620-6400
Mailing Address - Fax:
Practice Address - Street 1:23332 ORCHARD LAKE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-3280
Practice Address - Country:US
Practice Address - Phone:313-451-3271
Practice Address - Fax:313-451-3271
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016294101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional