Individual
DUSTIN RAYMOND MCKIMMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
411 W LAKE LANSING RD STE B110, EAST LANSING, MI 48823-8468
(517) 657-3533
(517) 580-0530
Mailing address
6720 LANSDOWN DR, DIMONDALE, MI 48821-9430
(517) 899-0572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023857
MI
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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