Individual
MRS. KATHIE ROXANNE DESCHAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, LAC
Contact information
Practice address
8931 HURON ST., THORNTON, CO 80260
(248) 624-3811
(248) 624-0368
Mailing address
8931 HURON ST., THORNTON, CO 80260
(248) 858-7766
(248) 858-7201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401009603
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883825
—
MI
Enumeration date
03/05/2007
Last updated
04/19/2013
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