Individual
MR. KEVIN A STUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202-2179
(517) 780-3336
(517) 796-4561
Mailing address
1200 N WEST AVE, SUITE 400, JACKSON, MI 49202-2179
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012576
MI
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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