SearchMichiganPrevention Professional

Justin Kroll

NPI 1609410596 · on the registry since 2019 · sole proprietor

Practice

Address
1902 13th St
Port Huron, MI 48060
Phone
(810) 300-8536

Additional practice sites

  • 924 Wall St, Port Huron, MI
  • 1234 Minnie St, Port Huron, MI
  • 1036 Wall St, Port Huron, MI
  • 1033 Wall St, Port Huron, MI
  • 735 Wall St, Port Huron, MI
  • 733 Wall St, Port Huron, MI
  • 1319 Griswold St, Port Huron, MI
  • 1220 Lapeer Ave, Port Huron, MI
  • 904 Tunnel St, Port Huron, MI

Registry record

Primary taxonomy
Prevention Professional
405300000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-10

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