Organization
FULL BLOOM COUNSELING AND CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN J KENNARD MA, LPC, NCC (OWNER)
(313) 415-0238
Entity
Organization
Contact information
Practice address
3011 W GRAND BLVD STE 413, DETROIT, MI 48202-3011
(248) 266-8036
Mailing address
600 VICTORIA PARK DR W, DETROIT, MI 48215-4103
(313) 415-0238
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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