Individual
ELIZABETH J KILLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
515 ADAMS ST, BAY CITY, MI 48708-5830
(989) 894-2991
(989) 895-7669
Mailing address
4211 KARLA CT, MIDLAND, MI 48642-9241
(989) 631-2419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401008526
MI
251S00000X
Community/Behavioral Health Agency
6401008526
MI
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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