Individual
KIMBERLY WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 FORD PL, 1C, DETROIT, MI 48202-3450
(313) 874-3094
(313) 874-9149
Mailing address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 661-7393
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005748
MI
Other
Enumeration date
11/13/2006
Last updated
01/17/2023
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