Individual
KEILA K KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401009781
MI
101YM0800X
Mental Health Counselor
6401009781
MI
101YP2500X
Professional Counselor
Primary
6401009781
MI
101YS0200X
School Counselor
CC-XVW450025540
MI
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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