Individual
KIM MICHELLE CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 36TH ST SE, KENTWOOD, MI 49512-2810
(616) 304-7517
Mailing address
3300 36TH ST SE, KENTWOOD, MI 49512-2810
(616) 304-7517
(616) 245-0450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451015430
MI
Other
Enumeration date
03/04/2015
Last updated
06/05/2024
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