Provider Demographics
NPI:1851593032
Name:FRIIS, JETTE ENGELUND (LPC, NCC, CRC)
Entity Type:Individual
Prefix:MS
First Name:JETTE
Middle Name:ENGELUND
Last Name:FRIIS
Suffix:
Gender:F
Credentials:LPC, NCC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 W 14 MILE RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:CLAWSON
Mailing Address - State:MI
Mailing Address - Zip Code:48017-3103
Mailing Address - Country:US
Mailing Address - Phone:248-655-0056
Mailing Address - Fax:
Practice Address - Street 1:2200 WOODWARD HTS
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-3007
Practice Address - Country:US
Practice Address - Phone:248-543-4138
Practice Address - Fax:248-543-4253
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007567101YP2500X
MI027405101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool