Individual
KINSLEY ANN FORMSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6756 S GREENVILLE RD, GREENVILLE, MI 48838-1000
(616) 885-0156
Mailing address
2276 KNOB HILL DR APT 3, OKEMOS, MI 48864-4561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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