person
Kelly Mainville
Professional Counselor in Southgate, Michigan
NPI 1528415619

Kelly Mainville is a Professional Counselor based in Clarkston, MI and is specialized in Professional. Kelly Mainville practices in Southgate, MI. The NPI Number for Kelly Mainville is 1528415619 and holds a License No. 6401014254 (Michigan).

The current practice location address for Kelly Mainville is 13305 Reeck Road, Southgate, MI and can be reached out via phone at 734-225-2090 and via fax at 734-225-2091.

Location: 13305 Reeck Road, Southgate, MI, 48346-4824
person
Provider Profile Details
NPI Number
1528415619
Provider Name
Kelly Mainville
Credential
Provider Entity Type
Individual
Gender
Female
Address
13305 Reeck Road, Southgate, MI, 48346-4824
Phone Number
734-225-2090
Fax Number
734-225-2091
Provider Enumeration Date
05/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13305 Reeck Road
City
State
Zip
48195-3197
Phone Number
734-225-2090
Fax Number
734-225-2091
person
Provider Business Mailing Address Details
Address
13305 Reeck Road
City
State
Zip
48195-3197
Phone Number
734-225-2090
Fax Number
734-225-2091
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401014254 (Michigan)
Definition
Definition to come...
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