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Mrs. Kelly Tervol
Mental Health Counselor in Jackson, Michigan
NPI 1366860470

Kelly Tervol is a Mental Health Counselor based in Jackson, MI and is specialized in Mental Health. Kelly Tervol practices in Jackson, MI. The NPI Number for Kelly Tervol is 1366860470 and holds a License No. 6401013548 (Michigan).

The current practice location address for Kelly Tervol is 6692 Spring Arbor Rd, Jackson, MI and can be reached out via phone at 517-750-3869.

Location: 6692 Spring Arbor Rd, Jackson, MI, 49201-9322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366860470
Provider Name
Kelly Tervol
Credential
Provider Entity Type
Individual
Gender
Female
Address
6692 Spring Arbor Rd, Jackson, MI, 49201-9322
Phone Number
517-750-3869
Fax Number
Provider Enumeration Date
04/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6692 Spring Arbor Rd
City
Jackson
State
Michigan
Zip
49201-9322
Phone Number
517-750-3869
Fax Number
person
Provider Business Mailing Address Details
Address
6692 Spring Arbor Rd
City
Jackson
State
Michigan
Zip
49201-9322
Phone Number
517-750-3869
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401013548 (Michigan)
Definition
Definition to come...
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