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Kelly Devonne Myricks, LPC
Counselor in Detroit, Michigan
NPI 1891058046

Kelly Devonne Myricks is a Counselor based in Detroit, MI. Kelly Devonne Myricks practices in Detroit, MI and has the professional credentials of LPC. The NPI Number for Kelly Devonne Myricks is 1891058046 and holds a License No. 820317 (Michigan).

The current practice location address for Kelly Devonne Myricks is 707 W Milwaukee St, Detroit, MI and can be reached out via phone at 313-344-9099 and via fax at 313-893-1735.

Location: 707 W Milwaukee St, Detroit, MI, 48202-2943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891058046
Provider Name
Kelly Devonne Myricks
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
707 W Milwaukee St, Detroit, MI, 48202-2943
Phone Number
313-344-9099
Fax Number
313-893-1735
Provider Enumeration Date
06/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
707 W Milwaukee St
City
Detroit
State
Michigan
Zip
48202-2943
Phone Number
313-344-9099
Fax Number
313-893-1735
person
Provider Business Mailing Address Details
Address
707 W Milwaukee St
City
Detroit
State
Michigan
Zip
48202-2943
Phone Number
313-344-9099
Fax Number
313-893-1735
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6401011597 (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
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
820317 (Michigan)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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