Individual
RACHAEL JOY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
555 28TH ST SE, GRAND RAPIDS, MI 49548-1278
(616) 633-0231
Mailing address
555 28TH ST SE, GRAND RAPIDS, MI 49548-1278
(616) 633-0231
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6451023170
MI
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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