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Kayla Mogg, LLC

Counselor, Mental Health in Midland, MI. Individual provider (NPI-1).

NPI number1003536780
StatusActive
Last updated in NPPESSep 1, 2022

Details

NPI
1003536780
Entity type
Individual (NPI-1)
Name
Kayla Mogg
Credential
LLC
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2022
Certification date
Aug 30, 2022
Last updated
Sep 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health6451022500MIYes

Practice location

1714 Eastman Ave
Midland, MI 48640-4216

Phone 989-631-5390

Mailing address

5396 W School Rd
Shepherd, MI 48883-9626

Phone 989-763-7206

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