Individual provider · Type 1 NPI

Kim Michelle Childress

Professional Counselor · Kentwood, MI

NPI number 1124410808 Active

Practice location

3300 36th St SE
Kentwood, MI 49512-2810

Other practice locations

  • 3181 Prairie St SW Ste 104, Grandville, MI 49418-2076 · (616) 304-7517

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6451015430 (MI)

Professional Counselor: Definition to come...

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About NPI 1124410808

Kim Michelle Childress's National Provider Identifier is 1124410808, issued on Mar 4, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kentwood, MI. The record was last updated on Jun 5, 2024.