Provider Demographics
NPI:1740945690
Name:BRITO, JAMIE LEE MARIE (MS LLPC)
Entity type:Individual
Prefix:
First Name:JAMIE LEE
Middle Name:MARIE
Last Name:BRITO
Suffix:
Gender:F
Credentials:MS LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9861 TIOGA TRL
Mailing Address - Street 2:
Mailing Address - City:PINCKNEY
Mailing Address - State:MI
Mailing Address - Zip Code:48169-8159
Mailing Address - Country:US
Mailing Address - Phone:508-410-5816
Mailing Address - Fax:
Practice Address - Street 1:2520 PACKARD RD RM 7
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-2245
Practice Address - Country:US
Practice Address - Phone:737-480-8099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451020899101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health