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Organization
KBK COUNSELING SERVICES, P.C.
Active
Organization
KBK COUNSELING SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM BETH KETOLA LMSW (PRESIDENT)
(586) 216-4553
Entity
Organization
Contact information
Practice address
39520 WOODWARD AVE, SUITE 233, BLOOMFIELD HILLS, MI 48304-5054
(586) 216-4553
Mailing address
5316 BREEZE HILL PL, TROY, MI 48098-2725
(248) 952-5853
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801066233
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0899799
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/29/2011
Last updated
03/29/2011
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