Individual
KRISTIN MARIE IMPASTATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 N OAKLAND BLVD, WATERFORD, MI 48327-1545
(248) 599-8999
Mailing address
625 N WILLIAMSBURY RD, BLOOMFIELD, MI 48301-2519
(248) 613-7665
(248) 613-7665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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