Individual
KYLE WILLIAM THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
802 GRAND PRE AVE, KALAMAZOO, MI 49006-2944
(269) 344-0930
Mailing address
802 GRAND PRE AVE, KALAMAZOO, MI 49006-2944
(269) 344-0930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401010346
MI
Other
Enumeration date
05/21/2007
Last updated
06/15/2015
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