| Kristen Qualls Pc | |
|
705 Barclay Cir Ste 105 Rochester Hills MI 48307-4575 | |
| (810) 397-4861 | |
| Not Available |
| Full Name | Kristen Qualls Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 705 Barclay Cir Ste 105, Rochester Hills, Michigan |
| Authorized Official Name and Position | Kristen Qualls (PRESIDENT) |
| Authorized Official Contact | 8103974861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Qualls Pc 1915 Castleton Dr Troy MI 48083-2613 Ph: (810) 397-4861 | Kristen Qualls Pc 705 Barclay Cir Ste 105 Rochester Hills MI 48307-4575 Ph: (810) 397-4861 |
| NPI Number | 1679080030 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 01/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679080030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401011017 (Michigan) | Primary |
| 106H00000X | Marriage & Family Therapist | 4101006433 (Michigan) | Secondary |
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