Organization
KALEIDOSCOPE COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY S INGLESON LPC-S (OWNER)
(231) 590-3167
Entity
Organization
Contact information
Practice address
424 PETOSKEY STREET, SUITE C, PETOSKEY, MI 49770-2618
(231) 590-3167
(231) 715-3787
Mailing address
424 PETOSKEY STREET, SUITE C, PETOSKEY, MI 49770-2618
(231) 590-3167
(231) 715-3787
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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