Individual
ASHLEY NICOLE KEEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
269 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 706-5041
Mailing address
269 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 706-5041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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