Healthcare Provider Details

I. General information

NPI: 1598155079
Provider Name (Legal Business Name): ELIZABETH JEAN TREGER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2015
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S MAIN ST SUITE C
MILFORD MI
48381-1975
US

IV. Provider business mailing address

1841 WEXPORT LN
COMMERCE TWP MI
48382-4865
US

V. Phone/Fax

Practice location:
  • Phone: 248-529-6383
  • Fax:
Mailing address:
  • Phone: 248-872-9792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401014800
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: