Individual provider · Type 1 NPI

Kelly Tervol

Mental Health Counselor · Jackson, MI

NPI number 1366860470 Active

Practice location

6692 Spring Arbor Rd
Jackson, MI 49201-9322

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401013548 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1366860470

Kelly Tervol's National Provider Identifier is 1366860470, issued on Apr 4, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MI. The record was last updated on Apr 4, 2014.