Individual
KIM NGOC T NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW, LPC
Contact information
Practice address
3104 KETTERING HTS, GRAND BLANC, MI 48507-4560
(316) 300-0407
Mailing address
3104 KETTERING HTS, GRAND BLANC, MI 48507-4560
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019075
MI
101YP2500X
Professional Counselor
6401019075
MI
104100000X
Social Worker
6802087828
MI
Other
Enumeration date
08/21/2013
Last updated
03/27/2025
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