Individual
MS. KELLIE ANN PURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAADC, ACS
Contact information
Practice address
575 S MAIN ST, SUITE 6, PLYMOUTH, MI 48170-1778
(734) 451-7800
(734) 451-5410
Mailing address
38264 DONALD ST, LIVONIA, MI 48154-4957
(734) 451-7800
(734) 451-5410
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401006723
MI
Other
Enumeration date
03/15/2007
Last updated
08/29/2023
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