Individual
MS. KRISTEN JILL GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER RECOVERY COACH
Contact information
Practice address
4230 COPPER RIDGE DR BLDG E, TRAVERSE CITY, MI 49684-7256
(231) 935-6739
(231) 935-6739
Mailing address
4230 COPPER RIDGE DR BLDG E, TRAVERSE CITY, MI 49684-7256
(231) 313-3444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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