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NPI Code Detail

MEDICARE: ALAINA DELORIS KUISMA MS, LLPC

MEDICARE: ALAINA DELORIS KUISMA MS, LLPC
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
1101YM0800XMental Health Counselor6451024733MI

General Provider Information

NPI Number : 1922962646
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAINA DELORIS KUISMA MS, LLPC
Provider Business Mailing Address
First Line : 3300 WASHTENAW AVE STE 222
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-4261
Country : US
Telephone Number : 734-203-0183
Fax Number :
Provider Business Practice Location Address
First Line : 3300 WASHTENAW AVE STE 222
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-4261
Country : US
Telephone Number : 734-203-0183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 03/05/2026

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