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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY VAN MOEN, MS, LLPC

Active

KELLY VAN MOEN, MS, LLPC is a Mental Health Counselor healthcare provider located in BRUCE TWP, Michigan. NPI 1134571219 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · BRUCE TWP, MI

Registration Details

NPI Number
1134571219
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2016 (10.072366955326 yrs)
Last Updated
Jul 12, 2016
Licenses
6401015525 (MI)
6401015525 (MI)

Practice Information

Address
124 W GATES ST
SUITE 103
BRUCE TWP, MI, 480654494
Browse MI providers · Browse ZIP 48065
Phone
5867526969
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in BRUCE TWP, MI

Name Credential NPI
NANCY J JOYE M.A., L.P.C., CAADC 1336410257
CYNTHIA FULKERTH 1811596570
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.