Individual
KARLI ICEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 BARCLAY CIR STE 400, ROCHESTER HILLS, MI 48307-5812
(313) 626-0938
Mailing address
45925 SPRING LN APT 103, SHELBY TOWNSHIP, MI 48317-4857
(248) 860-1908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017146
MI
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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