Individual
KENEESHA WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
3131 S STATE ST STE 226, ANN ARBOR, MI 48108-1658
(734) 430-0881
Mailing address
PO BOX 1952, TAYLOR, MI 48180-8852
(734) 430-0881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019372
MI
101YP2500X
Professional Counselor
6401010376
MI
101YP2500X
Professional Counselor
6401019372
MI
Other
Enumeration date
12/02/2013
Last updated
10/07/2022
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