Individual provider · Type 1 NPI
Kimberly Manrique, M.S, L.P.C., A.T.R
Professional Counselor · Traverse City, MI
NPI number
1003245564
Active
Practice location
5798 Deer Trail Dr
Traverse City, MI 49684-8479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 950 (NH) |
| Professional Counselor Primary | 101YP2500X | 6401013605 (MI) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1003245564
Kimberly Manrique, M.S, L.P.C., A.T.R's National Provider Identifier is 1003245564, issued on Nov 5, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Traverse City, MI. The record was last updated on Nov 5, 2013.