Individual
RYAN KISTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 W WACKERLY ST STE 11, MIDLAND, MI 48640-2769
(989) 832-2165
Mailing address
5230 CAMBRIDGE LN APT 5, MT PLEASANT, MI 48858-7164
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451022607
MI
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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