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Individual

KEVIN CARL KERSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LLPC.

Contact information

Practice address
5380 HOLIDAY TER STE 28, KALAMAZOO, MI 49009-2128
(269) 409-3000
Mailing address
5380 HOLIDAY TER STE 28, KALAMAZOO, MI 49009-2128
(269) 409-3000

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022466
MI

Other

Enumeration date
09/20/2021
Last updated
11/03/2022
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