Individual
MRS. KATHY A. FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
720 W. WACKERLY, SUITE 11, MIDLAND, MI 48640
(989) 832-2165
(989) 839-4376
Mailing address
PO BOX 2875, MIDLAND, MI 48641-2875
(989) 832-2165
(989) 839-4376
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2186666
MI
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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