Organization
DALLAIRE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN DALLAIRE LLP (OWNER)
(616) 439-0392
Entity
Organization
Contact information
Practice address
1096 N CENTER RD STE 94, BURTON, MI 48509-1425
(616) 439-0392
Mailing address
729 NATALIA DR, DAVISON, MI 48423-1200
(303) 931-3859
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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