Individual
MS. KATHLEEN J/ BETZOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
805 W MAUMEE ST, ADRIAN, MI 49221-1901
(517) 266-8880
Mailing address
805 W MAUMEE ST, ADRIAN, MI 49221-1901
(517) 266-8880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401002278
MI
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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