KEVIN BRUCE KNICKERBOCKER

DAVISON, MI
NPI1043929938
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MI  6401000014)
Enumeration Date2022-11-18
Last Update Date2022-11-18
Business Address
KEVIN BRUCE KNICKERBOCKER MA, LPC
8454 N HENDERSON RD
DAVISON, MI 48423-9318
Phone number: 810-834-7769
Mailing Address
KEVIN BRUCE KNICKERBOCKER MA, LPC
8454 N HENDERSON RD
DAVISON, MI 48423-9318
Phone number: 810-834-7769