| Kmkimmerly Counseling Llc | |
|
1151 Michigan Ave Suite 109 East Lansing MI 48823-4069 | |
| (517) 712-7687 | |
| Not Available |
| Full Name | Kmkimmerly Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1151 Michigan Ave, East Lansing, Michigan |
| Authorized Official Name and Position | Kersten Mary Kimmerly (OWNER) |
| Authorized Official Contact | 5177127687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kmkimmerly Counseling Llc Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Kmkimmerly Counseling Llc 1151 Michigan Ave Suite 109 East Lansing MI 48823-4069 Ph: (517) 712-7687 |
| NPI Number | 1558607325 |
|---|---|
| Provider Enumeration Date | 12/21/2012 |
| Last Update Date | 05/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558607325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801086284 (Michigan) | Primary |
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