Individual
DR. KRISTEN JEANETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DBH, MA, LPC, NCC
Contact information
Practice address
3011 W GRAND BLVD STE 418, DETROIT, MI 48202-3011
(248) 266-8036
Mailing address
18497 ROSELAWN ST, DETROIT, MI 48221-2115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401014563
MI
101YP2500X
Professional Counselor
Primary
6401018571
MI
Other
Enumeration date
11/29/2014
Last updated
05/08/2025
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