Search › Michigan › 103TC0700X
Kelly Distelrath, LLP
NPI 1598976375 · on the registry since 2007
Practice
- Address
- 520 Superior St
Port Huron, MI 48060 - Phone
- (810) 984-4202
- Organisation at this address
- Professional Counseling Center,P.C.
Professional Counseling Center, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 91
Additional practice sites
- 12220 E 13 Mile Rd, Warren, MI
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YM0800X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan