Individual
KELAINE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14165 N FENTON RD, FENTON, MI 48430-1587
(231) 468-1382
Mailing address
2409 HILLS ST, FLINT, MI 48503-2860
(231) 468-1382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010110
MI
Other
Enumeration date
05/14/2024
Last updated
05/21/2024
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