Individual
ASHLEY MCKENZIE TRIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
8175 CREEKSIDE DR STE 110, PORTAGE, MI 49024-5370
(269) 248-1006
Mailing address
6879 CYPRESS BAY DR, KALAMAZOO, MI 49009-7775
(810) 820-5832
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018071
MI
103TC2200X
Clinical Child & Adolescent Psychologist
2401642
MI
Other
Enumeration date
03/28/2013
Last updated
10/01/2023
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