Individual
MARY INSALACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
261 M 62, CASSOPOLIS, MI 49031-1034
(269) 445-3874
Mailing address
2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
(269) 421-1926
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401222880
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780207092
—
MI
Enumeration date
05/20/2020
Last updated
12/30/2025
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