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

MS. Jacqueline Nicole Fettes

Individual provider Peer Specialist · NPI 1306380845

MS. Jacqueline Nicole Fettes is a Peer Specialist in Richmond, Michigan. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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Practice location Address checks out

400 Stoddard Rd
Richmond, MI 48062-2505
Phone: (810) 392-2167
Fax: (810) 392-2057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1306380845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2016
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

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