Most Relevant Information
Provider Data
| NPI Number: | 1003173782 |
| Provider Name: | KATHLEEN MOUSSEAU LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6401013438 |
Most Important Dates
| Enumeration Date: | 04/18/2012 |
| Last Updated: | 04/06/2017 |
Provider Practice Location
22455 LAKELAND ST
SAINT CLAIR SHORES
MI
480812323
Practice Location Phone/Fax
| Phone: | 5862162550 |
| Fax: |
Provider Mailing Location
22455 LAKELAND ST
SAINT CLAIR SHORES
MI
480812323
Provider Mailing Phone/Fax
| Phone: | 5862162550 |
| Fax: |