| Kbk Counseling Services, P.c. | |
|
39520 Woodward Ave Suite 233 Bloomfield Hills MI 48304-5054 | |
| (586) 216-4553 | |
| Not Available |
| Full Name | Kbk Counseling Services, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 39520 Woodward Ave, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Kim Beth Ketola (PRESIDENT) |
| Authorized Official Contact | 5862164553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kbk Counseling Services, P.c. 5316 Breeze Hill Pl Troy MI 48098-2725 Ph: (248) 952-5853 | Kbk Counseling Services, P.c. 39520 Woodward Ave Suite 233 Bloomfield Hills MI 48304-5054 Ph: (586) 216-4553 |
| NPI Number | 1295024487 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 03/29/2011 |
| Medicare PECOS PAC ID | 0941484117 |
|---|---|
| Medicare Enrollment ID | O20110413000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295024487 | NPI | - | NPPES |
| 0899799 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801066233 (Michigan) | Primary |
| Provider Name | Kim B Ketola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326129750 PECOS PAC ID: 7810073277 Enrollment ID: I20080325000646 |
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