Individual
KENZIE M TIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 STEPHENSON HWY STE 210, TROY, MI 48083-1151
(248) 585-3239
(248) 585-3239
Mailing address
850 STEPHENSON HWY STE 210, TROY, MI 48083-1151
(248) 585-3239
(248) 616-9759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017477
MI
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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