Individual
KELLI A KIPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CAADC, CCS
Contact information
Practice address
205 E CAYUGA ST, BELLAIRE, MI 49615-9180
(231) 622-2122
Mailing address
1282 S M 66 HWY, MANCELONA, MI 49659-8778
(231) 622-2122
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012482
MI
Other
Enumeration date
06/02/2011
Last updated
03/24/2022
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