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Polly Ann Mccaul, LLC
Professional Counselor in Kentwood, Michigan
NPI 1790455293

Polly Ann Mccaul is a Professional Counselor based in Clarkston, MI and is specialized in Professional. Polly Ann Mccaul practices in Kentwood, MI and has the professional credentials of LLC. The NPI Number for Polly Ann Mccaul is 1790455293 and holds a License No. 6401017485 (Michigan).

The current practice location address for Polly Ann Mccaul is 3744 28Th St Se, Kentwood, MI and can be reached out via phone at 800-395-3223 and via fax at 248-620-6405.

Location: 3744 28Th St Se, Kentwood, MI, 48346-4824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790455293
Provider Name
Polly Ann Mccaul
Credential
LLC
Provider Entity Type
Individual
Gender
Female
Address
3744 28Th St Se, Kentwood, MI, 48346-4824
Phone Number
800-395-3223
Fax Number
248-620-6405
Provider Enumeration Date
09/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3744 28Th St Se
City
Kentwood
State
Michigan
Zip
49512-1802
Phone Number
800-395-3223
Fax Number
248-620-6405
person
Provider Business Mailing Address Details
Address
3744 28Th St Se
City
Kentwood
State
Michigan
Zip
49512-1802
Phone Number
800-395-3223
Fax Number
248-620-6405
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6451017485 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401017485 (Michigan)
Definition
Definition to come...
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