Individual
JEFF KOEHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
24349 ELMIRA, REDFORD, MI 48239-1606
(248) 345-7187
Mailing address
24349 ELMIRA, REDFORD, MI 48239-1606
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301015405
MI
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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