Individual
MS. JENNIFER LEIGH KOOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 243-7340
Mailing address
PO BOX 726, MONROE, MI 48161-0726
(734) 384-0226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161661
OH
101YM0800X
Mental Health Counselor
C.1400588
OH
101YP2500X
Professional Counselor
Primary
6401223859
MI
Other
Enumeration date
11/12/2015
Last updated
11/22/2023
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