Individual
KIMBERLY LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1201 N HURON RD, TAWAS CITY, MI 48763-9458
(517) 803-5115
Mailing address
1201 N HURON RD, TAWAS CITY, MI 48763-9458
(517) 803-5115
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015664
MI
Other
Enumeration date
12/18/2017
Last updated
01/26/2022
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