Individual
MS. KATHLEEN MARIE VANNESTE-KORTEBEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
27735 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-1309
(586) 777-8929
Mailing address
27735 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48081-1309
(586) 777-8929
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007622
MI
Other
Enumeration date
01/07/2017
Last updated
01/07/2017
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