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NPI Code Detail

MEDICARE: KIMBERLY KAY CHRISTENSEN LPC

MEDICARE: KIMBERLY KAY CHRISTENSEN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6401013669MI

General Provider Information

NPI Number : 1275965931
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY KAY CHRISTENSEN LPC
Provider Business Mailing Address
First Line : 8900 BATH RD
Second Line :
City : LAINGSBURG
State : MI
Zip : 48848-9362
Country : US
Telephone Number : 517-290-9675
Fax Number : 517-481-3313
Provider Business Practice Location Address
First Line : 311 HARRISON ST
Second Line :
City : GRAND LEDGE
State : MI
Zip : 48837-1577
Country : US
Telephone Number : 517-338-3090
Fax Number : 517-338-3090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2013
Last Update Date : 05/17/2023

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Directions to “ KIMBERLY KAY CHRISTENSEN LPC” Practice Location

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