Lynne Ann Kwiatkowski, LMSW

Individual provider Active NPI Mental Health Counselor · Harrison, MI

NPI 1710263140 · NPPES record last updated Oct 31, 2011

Key facts

NPI
1710263140
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
6801087403 (MI)
Practice address
789 N Clare Ave
Harrison, MI 48625-9194
Phone
(989) 539-2141
Fax
(989) 539-2143
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801087403 MI Yes

Addresses

Primary practice location

789 N Clare Ave
Harrison, MI 48625-9194

Mailing address

789 N Clare Ave
Harrison, MI 48625-9194
Phone (989) 539-2141

Other providers in Harrison, MI

All providers in Harrison, MI · Mental Health Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.