Individual
KEITH JAMES HERRIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
17105 W 12 MILE RD, SOUTHFIELD, MI 48076-2104
(248) 557-8390
(248) 557-6427
Mailing address
17105 W 12 MILE RD, SOUTHFIELD, MI 48076-2104
(502) 593-6885
(248) 557-6427
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6361001627
MI
103TC1900X
Counseling Psychologist
6361001627
MI
Other
Enumeration date
07/25/2019
Last updated
03/27/2024
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