Individual
ABBEY KRISTINE EWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2060 GRAND RIVER ANX, SUITE 600, BRIGHTON, MI 48114-5312
(810) 220-8192
(810) 220-0402
Mailing address
2060 GRAND RIVER ANX, SUITE 600, BRIGHTON, MI 48114-5312
(810) 220-8192
(810) 220-0402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012003
MI
Other
Enumeration date
04/05/2011
Last updated
01/27/2014
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