Individual
KELLY REAN KOERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3003 E MICHIGAN AVE STE 1139, LANSING, MI 48912-4616
(517) 816-9018
Mailing address
601 CAMROSE CT, LAINGSBURG, MI 48848-9809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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