Individual
KIERA CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC, MS-MHC
Contact information
Practice address
8965 CROSLEY, REDFORD, MI 48239-1535
(313) 377-5725
Mailing address
8965 CROSLEY, REDFORD, MI 48239-1535
(313) 377-5725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012433
MI
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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