Individual provider · Type 1 NPI

Jasmine Koussa, LPC

Professional Counselor · Shelby Township, MI

NPI number 1710748017 Active

Practice location

47818 Van Dyke Ave
Shelby Township, MI 48317-3373

Call (586) 323-3620 Map

Other practice locations

  • 127 N Lafayette St, South Lyon, MI 48178-1210 · (248) 573-7417

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X6401226255 (MI)
Professional Counselor Primary 101YP2500X6401226255 (MI)

Professional Counselor: Definition to come...

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About NPI 1710748017

Jasmine Koussa, LPC's National Provider Identifier is 1710748017, issued on Jan 23, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shelby Township, MI. The record was last updated on Aug 3, 2026.