Individual
KELLY DANIELLE TREHARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
Mailing address
2758 THOMAS AVE, BERKLEY, MI 48072-3244
(248) 730-2601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401017391
MI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
12/09/2022
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