Individual
KYRA VANDERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 ANN ARBOR RD W STE 206, PLYMOUTH, MI 48170-2251
(734) 335-4479
Mailing address
33129 W CHICAGO ST, LIVONIA, MI 48150-3788
(630) 538-6011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023789
MI
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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