Individual
KELLY INFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7000 ROOSEVELT AVE STE 101, ALLEN PARK, MI 48101
(517) 719-5813
Mailing address
PO BOX 1071, ALLEN PARK, MI 48101-5071
(517) 719-5813
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
Other
Enumeration date
03/01/2007
Last updated
09/23/2019
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