Charleston, Kathleen Marie

Charleston, Kathleen Marie is an sole proprietor health care provider with primary practice located at 25401 Harper Ave , Saint Clair Shores MI 48081-2240. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Charleston, Kathleen Marie can be contacted via phone (586) 466-6912.

Contact Information

Primary practice address
25401 Harper Ave Saint Clair Shores MI 48081-2240
Phone: (586) 466-6912
Fax: (586) 466-6961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401009519 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6802078628 Michigan

Profile Details

NPI number 1841339413
LBN Legal business name Charleston, Kathleen Marie
Credentials M.A., L.L.P.C.,N.C.C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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