Individual
KELLY LEONE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MA
Contact information
Practice address
1750 GRAND RIDGE CT NE STE 200, GRAND RAPIDS, MI 49525-7043
(616) 426-9034
Mailing address
2029 BRIDGEPORT RD NE APT 121, GRAND RAPIDS, MI 49505-6308
(219) 921-4957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MI
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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