Individual
JESSICA KOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLC
Contact information
Practice address
23580 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-3241
(734) 724-2061
Mailing address
23580 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48336-3241
(734) 724-2061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022937
MI
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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