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Kevin Bruce Knickerbocker, MA,LPC
Professional Counselor in Davison, Michigan
NPI 1043929938

Kevin Bruce Knickerbocker is a Professional Counselor based in Davison, MI and is specialized in Professional. Kevin Bruce Knickerbocker practices in Davison, MI and has the professional credentials of MA,LPC. The NPI Number for Kevin Bruce Knickerbocker is 1043929938 and holds a License No. 6401000014 (Michigan).

The current practice location address for Kevin Bruce Knickerbocker is 8454 N Henderson Rd, Davison, MI and can be reached out via phone at 810-834-7769.

Location: 8454 N Henderson Rd, Davison, MI, 48423-9318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043929938
Provider Name
Kevin Bruce Knickerbocker
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
8454 N Henderson Rd, Davison, MI, 48423-9318
Phone Number
810-834-7769
Fax Number
Provider Enumeration Date
11/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8454 N Henderson Rd
City
Davison
State
Michigan
Zip
48423-9318
Phone Number
810-834-7769
Fax Number
person
Provider Business Mailing Address Details
Address
8454 N Henderson Rd
City
Davison
State
Michigan
Zip
48423-9318
Phone Number
810-834-7769
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401000014 (Michigan)
Definition
Definition to come...
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