Individual
MISS LISA SUE KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
3422 WOODFIELD BLVD APT SUITE, EAST CHINA, MI 48054-1432
(810) 531-5746
Mailing address
3422 WOODFIELD BLVD APT SUITE, EAST CHINA, MI 48054-1432
(810) 531-5746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801082708
MI
Other
Enumeration date
01/08/2007
Last updated
02/08/2023
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