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Individual

JOELLE CATHERINE KEKHOUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LLP, LLPC, NCP

Contact information

Practice address
425 S MAIN ST, SUITE 201, ROCHESTER, MI 48307-6729
(248) 601-3111
Mailing address
425 S MAIN ST, SUITE 201, ROCHESTER, MI 48307-6729
(248) 601-3111

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401010294
MI
103TC0700X
Clinical Psychologist
Primary
6301010407
MI

Other

Enumeration date
05/21/2007
Last updated
09/25/2007
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