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Kelly Lynn Ottaway
Professional Counselor in Jackson, Michigan
NPI 1154861581

Kelly Lynn Ottaway is a Professional Counselor based in Wakarusa, MI and is specialized in Professional. Kelly Lynn Ottaway practices in Jackson, MI. The NPI Number for Kelly Lynn Ottaway is 1154861581 and holds a License No. 6401018105 (Michigan).

The current practice location address for Kelly Lynn Ottaway is 207 1St St, Jackson, MI and can be reached out via phone at 517-998-4673.

Location: 207 1St St, Jackson, MI, 46573-9583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154861581
Provider Name
Kelly Lynn Ottaway
Credential
Provider Entity Type
Individual
Gender
Female
Address
207 1St St, Jackson, MI, 46573-9583
Phone Number
517-998-4673
Fax Number
Provider Enumeration Date
03/04/2017
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
207 1St St
City
Jackson
State
Michigan
Zip
49201-2102
Phone Number
517-998-4673
Fax Number
person
Provider Business Mailing Address Details
Address
207 1St St
City
Jackson
State
Michigan
Zip
49201-2102
Phone Number
517-998-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401018105 (Michigan)
Definition
Definition to come...
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