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Organization
CHRYSALIS PSYCHOLOGICAL SERVICES, PLLC
Active
Organization
CHRYSALIS PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYDE KENNEDY-BALL PSYD, LP, CBIS (OWNER)
(517) 262-0198
Entity
Organization
Contact information
Practice address
156 W MICHIGAN AVE STE 525, JACKSON, MI 49201-1302
(517) 262-0198
Mailing address
156 W MICHIGAN AVE STE 525, JACKSON, MI 49201-1302
(517) 262-0198
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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