Individual
MRS. KELLY JO PAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
6949 CADE RD, BROWN CITY, MI 48416-9165
(810) 346-2271
Mailing address
6949 CADE RD, BROWN CITY, MI 48416-9165
(810) 346-2271
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
L916733
MI
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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