Most Relevant Information
Provider Data
| NPI Number: | 1003690132 |
| Provider Name: | MATTHEW MCKELVEY CADC-D |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/21/2023 |
| Last Updated: | 08/21/2023 |
Provider Practice Location
704 EMMET ST
PETOSKEY
MI
497702910
Practice Location Phone/Fax
| Phone: | 2313475511 |
| Fax: |
Provider Mailing Location
704 EMMET ST
PETOSKEY
MI
497702910
Provider Mailing Phone/Fax
| Phone: | 2313475511 |
| Fax: |