Individual
CARRIE JANE MCKEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.L.P.C.
Contact information
Practice address
1514 W MILHAM AVE, PORTAGE, MI 49024-1296
(269) 342-0606
Mailing address
1514 W MILHAM AVE, PORTAGE, MI 49024-1296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010331
MI
Other
Enumeration date
08/17/2008
Last updated
08/17/2008
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