Individual provider · Type 1 NPI

Kelly Devonne Myricks, LPC

Counselor · Detroit, MI

NPI number 1891058046 Active

Practice location

707 W Milwaukee St
Detroit, MI 48202-2943

Call (313) 344-9099 Map

Fax (313) 893-1735

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility 324500000X820317 (MI)
Counselor Primary 101Y00000X6401011597 (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 1891058046

Kelly Devonne Myricks, LPC's National Provider Identifier is 1891058046, issued on Jun 22, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Detroit, MI. The record was last updated on Nov 10, 2021.