Individual
MICHAEL MCKIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
711 W 13 MILE RD, MADISON HEIGHTS, MI 48071-1873
(586) 381-4020
Mailing address
711 W 13 MILE RD, MADISON HEIGHTS, MI 48071-1873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401223662
MI
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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