Individual
MICAH N MAKONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1004 GAYLE AVE, KALAMAZOO, MI 49048-2125
(816) 400-6542
Mailing address
5603 GULL PRAIRIE WAY, KALAMAZOO, MI 49048-3009
(816) 400-6542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851116112
MI
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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