Individual
KELLY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 S HURON PKWY STE 3D, ANN ARBOR, MI 48104-5133
(734) 719-0197
Mailing address
14800 E OLD US HIGHWAY 12, CHELSEA, MI 48118-2110
(734) 719-0380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023685
MI
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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