Individual
BRIAN JAMES KINYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LCAADC
Contact information
Practice address
2229 DEETER RD, LUZERNE, MI 48636-4863
(989) 578-9112
Mailing address
PO BOX 221, LUZERNE, MI 48636-0221
(989) 578-9112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAADC
MI
1041C0700X
Clinical Social Worker
Primary
6801119234
MI
Other
Enumeration date
01/21/2021
Last updated
10/09/2024
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