Individual
MARCY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3537 W FRONT ST STE F, TRAVERSE CITY, MI 49684-7943
(231) 935-8900
Mailing address
3537 W FRONT ST STE F, TRAVERSE CITY, MI 49684-7943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024348
MI
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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