Individual
KIERNAN GAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC-R, CCS-M
Contact information
Practice address
1522 JOY AVE, JACKSON, MI 49203-1933
(517) 782-2551
(517) 783-1986
Mailing address
1522 JOY AVE, JACKSON, MI 49203-1933
(517) 782-2551
(517) 783-1986
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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