Individual
KELLI CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 LAND RIDGE DR SW, BYRON CENTER, MI 49315-8944
(616) 550-7345
Mailing address
1800 LAND RIDGE DR SW, BYRON CENTER, MI 49315-8944
(616) 550-7345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014350
MI
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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