Individual
KYRA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
3351 CLAYSTONE ST SE STE G32, GRAND RAPIDS, MI 49546-5794
(352) 238-1608
Mailing address
51771 PLEASANT DR, MATTAWAN, MI 49071
(352) 238-1608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023959
MI
Other
Enumeration date
07/13/2024
Last updated
11/05/2024
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