Individual
MS. RITA KINSTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC, CAC-M
Contact information
Practice address
31153 PLYMOUTH RD, SUITE 104, LIVONIA, MI 48150-2134
(734) 474-8131
Mailing address
31153 PLYMOUTH RD, SUITE 104, LIVONIA, MI 48150-2134
(734) 474-8131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1-04117
MI
101YM0800X
Mental Health Counselor
6401012582
MI
101YP2500X
Professional Counselor
Primary
6401012582
MI
Other
Enumeration date
04/12/2007
Last updated
06/12/2014
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