Individual provider · NPI-1
Christine Marie Kessler, BCBA, LMSW, MSW
Behavior Analyst · Saint Clair Shores, MI
NPI number1134493687
StatusActive
Last updated in NPPESAug 24, 2015
Details
- NPI
- 1134493687
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Christine Marie Kessler
- Credential
- BCBA, LMSW, MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2012
- Last updated
- Aug 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-18490 | MI | Yes |
| 1041C0700X | Social Worker, Clinical | 6801093996 | MI |
Other names
- Christine Marie Candelaria (Former Name)
Practice location
21501 Lakebreeze StSaint Clair Shores, MI 48082-2206
Phone 989-621-7662
Mailing address
21501 Lakebreeze StSaint Clair Shores, MI 48082-2206
Phone 989-621-7662
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