| Kelly Trawczynski | |
|
5399 Mirage Cir Dimondale MI 48821-9302 | |
| (616) 606-2673 | |
| Not Available |
| Full Name | Kelly Trawczynski |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5399 Mirage Cir, Dimondale, Michigan |
| Authorized Official Name and Position | Kelly L Trawczynski (LICENSED MASTER IN SOCIAL WORK) |
| Authorized Official Contact | 6166062673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Trawczynski 5399 Mirage Cir Dimondale MI 48821-9302 Ph: (616) 606-2673 | Kelly Trawczynski 5399 Mirage Cir Dimondale MI 48821-9302 Ph: (616) 606-2673 |
| NPI Number | 1518600717 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 04/15/2022 |
| Certification Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518600717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |