Individual
KIM JEANNETTE LYTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC CAADC NCC
Contact information
Practice address
520 N MAIN ST, SUITE 202, CHEBOYGAN, MI 49721-1162
(231) 597-9235
(231) 627-4201
Mailing address
520 N MAIN ST, SUITE 202, CHEBOYGAN, MI 49721-1162
(231) 597-9235
(231) 627-4201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014824
MI
Other
Enumeration date
05/17/2016
Last updated
04/30/2019
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