Individual
ERICA M. KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,CRC,LBSW
Contact information
Practice address
7310 WOODWARD AVE, DETROIT, MI 48202-3165
(313) 231-7817
Mailing address
PO BOX 3725, SOUTHFIELD, MI 48037-3725
(313) 231-7817
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009344
MI
104100000X
Social Worker
6802083850
MI
Other
Enumeration date
03/20/2007
Last updated
07/31/2020
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