Individual
KAILY ANN ENBODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAADC
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1200
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
03/03/2026
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