Individual
KIMBERLY RUTH TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4880 LAWNDALE ST, DETROIT, MI 48210-2010
(313) 846-6030
(313) 846-7718
Mailing address
20066 MIDWAY AVE, SOUTHFIELD, MI 48075-3813
(248) 943-5196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401011150
MI
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401011150
MI
101YS0200X
School Counselor
IF0000000185872
MI
Other
Enumeration date
07/22/2011
Last updated
02/28/2024
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