Individual
KIMBERLY SUE HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 787-7920
(517) 787-2440
Mailing address
2532 N DETTMAN RD, JACKSON, MI 49201-8837
(517) 787-7920
(517) 787-2440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010439
MI
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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