Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN BRUCE KNICKERBOCKER, MA, LPC
Active Sole ProprietorKEVIN BRUCE KNICKERBOCKER, MA, LPC is a Professional Counselor healthcare provider located in DAVISON, Michigan. NPI 1043929938 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · DAVISON, MI
Registration Details
- NPI Number
- 1043929938
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2022 (3.716131293205 yrs)
- Last Updated
- Nov 18, 2022
- License
-
6401000014 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8454 N HENDERSON RDDAVISON, MI, 484239318Browse MI providers · Browse ZIP 48423
- Phone
- 8108347769
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in DAVISON, MI
| Name | Credential | NPI |
|---|---|---|
| PHAEDRA NOELLE BARTLETT | — | 1043244585 |
| KIMBERLY DONAHUE | — | 1184700999 |
| MRS. NANCY DIANE SCHILLINGER | M. A., LLPC | 1265629984 |
| KAREN MARIE LALONDE | MA LLPC | 1205082823 |
| MR. CHARLES DONALD RICHARDS | LPC | 1154728855 |
| BRIANNA F DIXON | MA, LPC | 1932574902 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.