Individual
JO ANNA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
3424 CHICAGO DR STE 205, HUDSONVILLE, MI 49426-1411
(616) 426-9034
(616) 404-4103
Mailing address
3424 CHICAGO DR STE 205, HUDSONVILLE, MI 49426-1411
(616) 426-9034
(616) 404-4103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022093
MI
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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