KIRK PFANNES

RICHMOND, MI
NPI1669594586
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MI  6801087168)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
KIRK PFANNES
400 STODDARD RD
RICHMOND, MI 48062-2505
Phone number: 810-392-2167
Mailing Address
KIRK PFANNES
13157 JULIUS AVE
WARREN, MI 48089-3254
Phone number: