Individual
KEITHA CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(586) 261-6200
Mailing address
14877 MARK TWAIN ST, DETROIT, MI 48227-2929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024932
MI
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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