Individual
LYNNE KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1435 N. OAKLAND BLVD, WATERFORD, MI 48327
(248) 467-4255
Mailing address
2047 N. DUCK LK., HIGHLAND, MI 48356
(248) 406-0090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801012672
MI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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