Criscia Nicole Kasem, LLP
Psychologist in Flint, MI. Individual provider (NPI-1).
NPI number1982154852
StatusActive
Last updated in NPPESOct 17, 2024
Details
- NPI
- 1982154852
- Entity type
- Individual (NPI-1)
- Name
- Criscia Nicole Kasem
- Credential
- LLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2016
- Certification date
- Oct 17, 2024
- Last updated
- Oct 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 6361007122 | MI | Yes |
| 103TC1900X | Psychologist, Counseling | 6301016246 | MI |
Practice location
1057 E Coldwater RdFlint, MI 48505-1501
Phone 810-257-3705
Mailing address
1057 E Coldwater RdFlint, MI 48505-1501
Phone 810-257-3705 · Fax 810-257-1310
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