Individual
KAILYN MCKINSEY RANGUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
4690 FULTON ST E STE 102, ADA, MI 49301-8454
(616) 425-7701
Mailing address
4690 FULTON ST E STE 102, ADA, MI 49301-8454
(616) 425-7701
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6362009536
MI
103TC1900X
Counseling Psychologist
—
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Other
Enumeration date
08/23/2022
Last updated
06/14/2024
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