Individual
KELLI ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11741 CAVELL ST, LIVONIA, MI 48150-2301
(810) 354-5412
Mailing address
607 SHELBY ST., SUITE 700, PMB 339, DETROIT, MI 48226
(810) 354-5412
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401018186
MI
Other
Enumeration date
11/17/2018
Last updated
07/21/2024
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