Individual provider · Type 1 NPI

Kathy Varboncoeur, CADC, SST

Specialist · Muskegon, MI

NPI number 1669875779 Active

Practice location

1823 Commerce St
Muskegon, MI 49441-2608

Call (231) 728-2138 Map

Fax (231) 722-4771

Mailing address

18724 Ellenwood Ln
Fruitport, MI 49415-9541

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X6803058152 (MI)
Specialist Primary 174400000X2-00422 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1669875779

Kathy Varboncoeur, CADC, SST's National Provider Identifier is 1669875779, issued on Oct 2, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Muskegon, MI. The record was last updated on Oct 2, 2014.