Individual
MS. KELLY ANNE QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1333 BREWERY PARK BLVD STE 140, DETROIT, MI 48207-4544
(313) 576-2513
(313) 576-2501
Mailing address
1333 BREWERY PARK BLVD STE 140, DETROIT, MI 48207-4544
(313) 576-2513
(313) 576-2501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008081
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401008081
LICENSED PROFESSIONAL COUNSELOR
MI
Enumeration date
12/13/2017
Last updated
12/13/2017
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