Individual
KRISTIN PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015448
MI
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/03/2019
Last updated
06/15/2022
Update your record
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