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Individual

KAYLA MARIE PATINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRC, LLPC

Contact information

Practice address
901 E MOUNT HOPE AVE, LANSING, MI 48910-3207
(517) 999-7522
Mailing address
2100 AUBURN AVE, HOLT, MI 48842-1309

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
01/13/2022
Last updated
01/13/2022
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