Individual
MR. KERRY BASINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
18600 NORTHVILLE RD STE 400A, NORTHVILLE, MI 48168-3544
(734) 234-6688
Mailing address
18600 NORTHVILLE RD STE 400A, NORTHVILLE, MI 48168-3544
(734) 234-6688
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4101006803
—
MI
Enumeration date
03/25/2016
Last updated
06/20/2024
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