Individual
KRISTINE ELIZABETH GERVASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
210 E MAIN ST STE 3, NILES, MI 49120-2376
(269) 340-2770
Mailing address
210 E MAIN ST STE 3, NILES, MI 49120-2376
(269) 340-2770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451024195
MI
Other
Enumeration date
02/04/2020
Last updated
05/07/2025
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