Individual
KYMALETHA ROCHELLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17169 E WARREN AVE, DETROIT, MI 48224-2279
(313) 480-4766
Mailing address
17169 E WARREN AVE, DETROIT, MI 48224-2279
(313) 480-4766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
6451019006
MI
374J00000X
Doula
—
MI
Other
Enumeration date
08/09/2017
Last updated
01/05/2023
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