Individual
KISIMBA MWEMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 346-8318
Mailing address
812 E JOLLY RD STE 311, LANSING, MI 48910-6821
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017992
MI
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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