Doctor Name: | MR. JEFFREY MICHEAL DENEAU |
NPI Number: | 1184812547 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | 6801080410 |
Business Practice Address: | 19366 Allen Rd Brownstown Twp, MI - 481836809 |
Business Phone Number: | 7344790949 |
Business Fax Number: | 7344791637 |
Mailing Address: | 2160 4th St, TRENTON |
State: | MI |
Postal Code: | 481832122 |
Phone Number: | 7344027036 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 07/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801080410 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |