Individual
KELLY E BAIN-CONKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
310 N MICHIGAN ST, SUITE 208, PLYMOUTH, IN 46563-1770
(574) 935-9449
(574) 935-3956
Mailing address
310 N MICHIGAN ST, SUITE 208, PLYMOUTH, IN 46563-1770
(574) 935-9449
(574) 935-3956
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
39002134A
IN
Other
Enumeration date
03/07/2007
Last updated
01/28/2010
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