Individual
KELLY MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LLPC, ATC, CSCS
Contact information
Practice address
2950 W HOWELL RD, MASON, MI 48854-9329
(517) 367-0670
Mailing address
2950 W HOWELL RD, MASON, MI 48854-9329
(517) 367-0670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023168
MI
2255A2300X
Athletic Trainer
2601001581
MI
Other
Enumeration date
01/03/2019
Last updated
07/14/2023
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