Individual
KELLY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.L.P.C
Contact information
Practice address
4221 S MLK BLVD, LANSING, MI 48910-5201
(517) 290-5408
Mailing address
4221 S MLK BLVD, LANSING, MI 48910-5201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015669
MI
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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