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Individual

KELLY MESSING-MIRABITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
800 STEPHENSON HWY, SUITE 250, TROY, MI 48083-1123
(248) 585-3239
Mailing address
1532 BIGGERS RD, ROCHESTER HILLS, MI 48309-1612
(248) 981-7981

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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