Dietzel, Kelly Breanne
Dietzel, Kelly Breanne is an individual health care provider with primary practice located at 1310 Turner St Suite A, Lansing MI 48906-4373. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Dietzel, Kelly Breanne can be contacted via phone (586) 722-3698.Contact Information
Primary practice address
1310 Turner St Suite A
Lansing MI 48906-4373
Phone: (586) 722-3698
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 4704233720 | Michigan |
Profile Details
| NPI number | 1679914055 |
|---|---|
| LBN Legal business name | Dietzel, Kelly Breanne |
| Credentials | MS, LLMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2013 |
| Last updated | Jun 20th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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