Individual
CAROLYN KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
31581 GRATIOT AVE, ROSEVILLE, MI 48066-4528
(586) 783-4802
(586) 783-4805
Mailing address
31581 GRATIOT AVE, ROSEVILLE, MI 48066-4528
(586) 783-4802
(586) 783-4805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
640101170
MI
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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