Individual
KEN PATRIQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, CAADC
Contact information
Practice address
651 N STATE ST, CARO, MI 48723-1543
(989) 673-5700
(989) 672-2555
Mailing address
443 N STATE ST, CARO, MI 48723-1539
(989) 672-6160
(989) 672-5649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009582
MI
Other
Enumeration date
05/26/2006
Last updated
01/26/2012
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