Individual
MRS. JAYDE KENNEDY-BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSD, LP
Contact information
Practice address
3181 SANDHILL RD, MASON, MI 48854-9425
(517) 455-0258
Mailing address
3181 SANDHILL RD, MASON, MI 48854-9425
(517) 455-0258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
6301016332
MI
Other
Enumeration date
08/31/2010
Last updated
08/29/2016
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