Individual provider · Type 1 NPI

Kevin Bruce Knickerbocker, MA, LPC

Professional Counselor · Davison, MI

NPI number 1043929938 Active

Practice location

8454 N Henderson Rd
Davison, MI 48423-9318

Call (810) 834-7769 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401000014 (MI)

Professional Counselor: Definition to come...

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About NPI 1043929938

Kevin Bruce Knickerbocker, MA, LPC's National Provider Identifier is 1043929938, issued on Nov 18, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Davison, MI. The record was last updated on Nov 18, 2022.