Individual
MRS. KELLEY ANN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LLPC
Contact information
Practice address
2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
(248) 646-6659
Mailing address
2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084-3407
(248) 646-6659
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010926
MI
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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