Individual
MRS. KIMBERLY KAY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHUS, DP-C
Contact information
Practice address
1480 N M 52 STE A, OWOSSO, MI 48867-1290
(989) 723-8239
(989) 723-8230
Mailing address
1480 N M 52 STE A, OWOSSO, MI 48867-1290
(989) 723-8239
(989) 723-8230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720314008
—
MI
Enumeration date
04/12/2019
Last updated
03/03/2022
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