Individual
KAYLA CLOSE-STALLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LLPC
Contact information
Practice address
29425 NORTHWESTERN HWY STE 210, SOUTHFIELD, MI 48034-1000
(248) 327-7409
Mailing address
25304 SHIAWASSEE CIR APT 205, SOUTHFIELD, MI 48033-3852
(313) 680-2924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6451022781
MI
101YP2500X
Professional Counselor
Primary
6451022781
MI
Other
Enumeration date
03/12/2019
Last updated
12/10/2024
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