| Katherine Kezelian, Llc | |
|
504 E 4th St Royal Oak MI 48067-2847 | |
| (248) 840-0595 | |
| Not Available |
| Full Name | Katherine Kezelian, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 504 E 4th St, Royal Oak, Michigan |
| Authorized Official Name and Position | Katherine Kezelian (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2488400595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Kezelian, Llc 504 E 4th St Royal Oak MI 48067-2847 Ph: () - | Katherine Kezelian, Llc 504 E 4th St Royal Oak MI 48067-2847 Ph: (248) 840-0595 |
| NPI Number | 1710598560 |
|---|---|
| Provider Enumeration Date | 08/14/2020 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710598560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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