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Organization
CLEMENTINE COUNSELING
Active
Organization
CLEMENTINE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE KOUSSA LPC (OWNER)
(586) 741-9594
Entity
Organization
Contact information
Practice address
47818 VAN DYKE AVE, SHELBY TWP, MI 48317-3373
(586) 323-3620
Mailing address
1515 HOFFMAN AVE, ROYAL OAK, MI 48067-3426
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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