Individual
DR. KRISTEN ANN KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., FLP, LPC
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401009215
MI
103T00000X
Psychologist
Primary
6301013600
MI
Other
Enumeration date
11/06/2006
Last updated
12/03/2014
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