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Kenneth Whittum

NPI 1497132633 · on the registry since 2015 · sole proprietor

Practice

Address
38828 Grandon St
Livonia, MI 48150
Phone
(734) 368-4571
Organisation at this address
Soulstice Counseling
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan