Individual provider · Type 1 NPI
Kimberly Gruber, MA, LPC, NCC
Professional Counselor · Fenton, MI
NPI number
1669946430
Active
Practice location
110 Trealout Dr Ste 104
Fenton, MI 48430-3211
Mailing address
10201 Bennett Lake Rd
Fenton, MI 48430-8767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401015583 (MI) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1669946430
Kimberly Gruber, MA, LPC, NCC's National Provider Identifier is 1669946430, issued on Jan 15, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fenton, MI. The record was last updated on Jan 15, 2019.