| Kaleidoscope Counseling Services Pllc | |
|
424 Petoskey Street Suite C Petoskey MI 49770-2618 | |
| (231) 590-3167 | |
| (231) 715-3787 |
| Full Name | Kaleidoscope Counseling Services Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 424 Petoskey Street, Petoskey, Michigan |
| Authorized Official Name and Position | Kelly S Ingleson (OWNER) |
| Authorized Official Contact | 2315903167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Counseling Services Pllc 424 Petoskey Street Suite C Petoskey MI 49770-2618 Ph: (231) 590-3167 | Kaleidoscope Counseling Services Pllc 424 Petoskey Street Suite C Petoskey MI 49770-2618 Ph: (231) 590-3167 |
| NPI Number | 1427510189 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 04/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427510189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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