Individual
PAULINE MICHELLE KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LLPC
Contact information
Practice address
524 W MAIN ST, IONIA, MI 48846-1536
(269) 908-6090
Mailing address
337 E GRANT ST, HASTINGS, MI 49058-1315
(269) 908-6090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015491
MI
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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