Individual
CAROLYN JEAN BELKNAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 LINDELL AVE, PETOSKEY, MI 49770-3230
(231) 439-8354
Mailing address
1022 LINDELL AVE, PETOSKEY, MI 49770-3230
(231) 439-8354
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009177
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401009177
PROFESSIONAL COUNSELOR LICENSE
MI
Enumeration date
06/14/2013
Last updated
06/14/2013
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