Individual
KIMBERLY GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
110 TREALOUT DR STE 104, FENTON, MI 48430-3211
(810) 333-6666
Mailing address
10201 BENNETT LAKE RD, FENTON, MI 48430-8767
(810) 333-6666
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015583
MI
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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