Individual
DR. KIMBERLY GERISSE VANDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
116 MARKET ST, PERCEPTIONS COUNSELING SERVICES, MOUNT CLEMENS, MI 48043-5674
(586) 465-4444
(586) 783-2761
Mailing address
116 MARKET ST, PERCEPTIONS COUNSELING SERVICES, MOUNT CLEMENS, MI 48043-5674
(586) 465-4444
(586) 783-2761
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014352
MI
Other
Enumeration date
02/19/2010
Last updated
02/09/2011
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