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MRS. KELSEY JO PENIX LPC - MI, LMHC - NM

School >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1407376536

Individual Registrant:
MRS. KELSEY JO PENIX LPC - MI, LMHC - NM
Gender: F
Sole Proprietor

Location and contact information for practice:
9445 PATRICIA DR  OTISVILLE, MI 48463-9406 US
Tel: 810-210-8857  Fax: --

Contact information for business:
9445 PATRICIA DR  OTISVILLE, MI 48463-9406 US
Tel: 810-210-8857  Fax: --

Registration Information:
NPI: 1407376536
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YS0200XBehavioral Health & Social Service Providers
Counselor
School
MIPV0000000820594
N101YM0800XBehavioral Health & Social Service Providers
Counselor
NMCMH0198831
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
MI6401017288

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MI - Page 1



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