Provider Demographics
NPI:1700193844
Name:BRITTEN, DOROTHY LOUISE (LLPC)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:LOUISE
Last Name:BRITTEN
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 INCOCHEE CREST COMMONS
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-1457
Mailing Address - Country:US
Mailing Address - Phone:231-218-6048
Mailing Address - Fax:
Practice Address - Street 1:4000 INCOCHEE CREST COMMONS
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-1457
Practice Address - Country:US
Practice Address - Phone:231-218-6048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1811934101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional