Jillian Cantrell, LLMFT
Individual provider Active NPI Marriage & Family Therapist · Roseville, MI
NPI 1164046215 · NPPES record last updated Jun 4, 2020
Key facts
- NPI
- 1164046215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 4151000213 (MI)
- Practice address
- 28351 Gratiot Ave Ste 3
Roseville, MI 48066-4252 - Phone
- (586) 350-0400
- NPI assigned
- Jun 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4151000213 | MI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Step at a Time Counseling Services, Inc. | Current |
Accepting new patients |
Locations
28351 Gratiot Ave
Ste 3
Roseville, MI 48066
Phone (586) 350-0400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4151000213 | MI | Yes |
Addresses
Primary practice location
28351 Gratiot Ave Ste 3
Roseville, MI 48066-4252
Mailing address
28351 Gratiot Ave Ste 3
Roseville, MI 48066-4252
Phone (586) 350-0400
Other practice location 1
34841 Veterans Plz
Wayne, MI 48184-1733
Phone (313) 292-7640
Other providers in Roseville, MI
- Louise Michelle Burgan
- Dawn M Burke
- Betty C Caldwell
- Paul E Campbell
- Todd Garrison Campbell
- David Paul Caplan
- Cardiovascular Institute of Michigan, P.C.
- Care Crest
- Caring Dentistry of Roseville DDS PLLC
- Carl Papa D.D.S., P.C.
All providers in Roseville, MI · Marriage & Family Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.