Individual
KARA LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
4701 PLAINFIELD AVE NE, SUITE C, GRAND RAPIDS, MI 49525-1644
(616) 425-9331
Mailing address
4701 PLAINFIELD AVE NE, SUITE C, GRAND RAPIDS, MI 49525-1644
(616) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401015662
MI
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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