Organization
KRISTEN QUALLS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN QUALLS LPC, LMFT (PRESIDENT)
(810) 397-4861
Entity
Organization
Contact information
Practice address
705 BARCLAY CIR STE 105, ROCHESTER HILLS, MI 48307-4575
(810) 397-4861
Mailing address
1915 CASTLETON DR, TROY, MI 48083-2613
(810) 397-4861
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011017
MI
106H00000X
Marriage & Family Therapist
4101006433
MI
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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