KELLY BREANNE DIETZEL

LANSING, MI
NPI1679914055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: MI  4704233720)
Enumeration Date2013-07-12
Last Update Date2014-06-20
Business Address
KELLY BREANNE DIETZEL MS, LLMFT
1310 TURNER ST SUITE A
LANSING, MI 48906-4373
Phone number: 586-722-3698
Mailing Address
KELLY BREANNE DIETZEL MS, LLMFT
6160 HARDY AVE APT 9
EAST LANSING, MI 48823-6213
Phone number: 586-722-3698