Individual
KATHRINE M. FLAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1208 GREENWOOD AVE, JACKSON, MI 49203-3037
(517) 914-5128
Mailing address
1208 GREENWOOD AVE, JACKSON, MI 49203-3037
(517) 914-5128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011739
MI
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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