Individual provider · Type 1 NPI

Kelly M. Kaikkonen

Counselor · Grand Blanc, MI

NPI number 1356436208 Active

Practice location

8245 Holly Rd Ste 200
Grand Blanc, MI 48439-2483

Call (800) 693-1916 Map

Fax (248) 605-3525

Mailing address

PO Box 772263
Detroit, MI 48277-2263

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6401006044 (MI)
Clinical Psychologist 103TC0700X6301009779 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1356436208

Kelly M. Kaikkonen's National Provider Identifier is 1356436208, issued on Oct 4, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Blanc, MI. The record was last updated on Aug 17, 2022.