Individual
AMY KISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLPC, CAADC
Contact information
Practice address
2800 S SHEPHERD RD, MOUNT PLEASANT, MI 48858-8966
(989) 775-4850
Mailing address
2800 S SHEPHERD RD, MOUNT PLEASANT, MI 48858-8966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011784
MI
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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