Individual
MONA LISA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15901 W 11 MILE RD APT 201, SOUTHFIELD, MI 48076-3697
(248) 277-8984
Mailing address
15901 W 11 MILE RD APT 201, SOUTHFIELD, MI 48076-3697
(248) 277-8984
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005165
MI
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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