Individual
CRISCIA NICOLE KASEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
1057 E COLDWATER RD, FLINT, MI 48505-1501
(810) 257-3705
Mailing address
1057 E COLDWATER RD, FLINT, MI 48505-1501
(810) 257-3705
(810) 257-1310
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007122
MI
103TC1900X
Counseling Psychologist
6301016246
MI
Other
Enumeration date
10/04/2016
Last updated
10/17/2024
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