Individual
DIANE MARIE MCKELVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MALLP
Contact information
Practice address
33975 DEQUINDRE RD, SUITE 5, TROY, MI 48083-4649
(248) 585-3239
(248) 616-9759
Mailing address
3237 BACON AVE, BERKLEY, MI 48072-1150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301009971
MI
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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