Organization
CORESHIFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN KANOUSE LMSW (OWNER/CLINICAL THERAPIST)
(517) 803-0973
Entity
Organization
Contact information
Practice address
2415 DEVONSHIRE AVE, LANSING, MI 48910-3548
(517) 803-0973
Mailing address
2415 DEVONSHIRE AVE, LANSING, MI 48910-3548
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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