Individual
KENDALL MARCELE BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
614 ROMENCE RD, PORTAGE, MI 49024-3613
(269) 615-7637
Mailing address
1746 GROVENBERG CT, VICKSBURG, MI 49097-7776
(269) 366-0161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/16/2013
Last updated
02/11/2022
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