Individual
ROWAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
500 E 3RD ST, BUCHANAN, MI 49107-1404
(269) 224-0977
(269) 224-0978
Mailing address
500 E 3RD ST, BUCHANAN, MI 49107-1404
(269) 224-0977
(269) 224-0978
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
39004723A
IN
101Y00000X
Counselor
6401225208
MI
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
39004723A
IN
101YM0800X
Mental Health Counselor
6401225208
MI
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
04/13/2026
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