Doctor Name: | KEILA K KILGORE |
NPI Number: | 1275768038 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, NCC, LPC |
License Number: | 6401009781 |
Business Practice Address: | 4 N Howell St Suite 260 Hillsdale, MI - 492421780 |
Business Phone Number: | 5173151367 |
Business Fax Number: | 5175632673 |
Mailing Address: | 4 N Howell St, Suite 260 HILLSDALE |
State: | MI |
Postal Code: | 492421780 |
Phone Number: | 5173151367 |
Fax Number: | 5175632673 |
NPI Enumeration Date: | 05/22/2009 |
NPI Last Update Date: | 05/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401009781 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |