Ku, Coryanna L

Ku, Coryanna L is an sole proprietor health care provider with primary practice located at 343 S Main St Ste 203 , Ann Arbor MI 48104-2116. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ku, Coryanna L can be contacted via phone (734) 787-8966.

Contact Information

Primary practice address
343 S Main St Ste 203 Ann Arbor MI 48104-2116
Phone: (734) 787-8966
Fax: (734) 794-3797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 54002 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 54002 California
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401010375 Michigan

Profile Details

NPI number 1811183601
LBN Legal business name Ku, Coryanna L
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2007
Last updated Jan 11th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1811183601 NPPES
Michigan MEDICAID 1841883832

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