Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Petrimoulx

Individual provider Mental Health Counselor · NPI 1851751705

Jacob Petrimoulx is a Mental Health Counselor in Clinton Township, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

44899 Centre Ct Ste 101
Clinton Township, MI 48038-5510
Phone: (586) 690-8331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6451022247 (MI)

Record details

NPI number1851751705
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2016
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

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