Individual
MRS. CATHLEEN M KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
1145 ARBROAK CT, LAKE ORION, MI 48362-2580
(248) 892-8410
Mailing address
1145 ARBROAK CT, LAKE ORION, MI 48362-2580
(248) 892-8410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009862
MI
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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