Individual
MARILYN KISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
33300 WARREN RD, SUITE 17, WESTLAND, MI 48185-9627
(734) 331-0773
(734) 212-2120
Mailing address
29708 JACQUELYN DR, LIVONIA, MI 48154-4444
(734) 674-9921
(734) 525-1939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010853
MI
Other
Enumeration date
12/18/2009
Last updated
04/15/2021
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