Individual
KIMBERLY ANN CARDECCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
7601 E ALLEN RD, FENTON, MI 48430-9221
(517) 898-5094
Mailing address
3840 LISTERMAN RD, HOWELL, MI 48855-9741
(517) 898-5094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007923
MI
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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