Individual
KELLY MESSING-MIRABITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00017
MI
101YP2500X
Professional Counselor
Primary
6401007561
MI
101YS0200X
School Counselor
SC0000169
MI
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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