Individual
MS. ASHANTAE ELIZABETH-JEAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15025 FENKELL ST, DETROIT, MI 48227-2647
(313) 345-4310
Mailing address
15941 FAIRFIELD ST, DETROIT, MI 48238-4123
(313) 345-4310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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