Individual
KESENA JONES OLEITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
23111 LEIGHWOOD DR, WOODHAVEN, MI 48183-2772
(832) 387-8068
(734) 307-7719
Mailing address
23111 LEIGHWOOD DR, WOODHAVEN, MI 48183-2772
(832) 387-8068
(734) 307-7719
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
5803000821
MI
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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