KIRSTI VICKERY

GRAND RAPIDS, MI
NPI1821576919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2018-08-01
Last Update Date2021-02-28
Business Address
KIRSTI VICKERY
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506-3155
Phone number: 989-884-4174
Mailing Address
KIRSTI VICKERY
214 MASON ST
SPRING LAKE, MI 49456-1665
Phone number: 989-884-4174