Provider Demographics
NPI:1780018705
Name:KIMMEL, DARLENE KISSELL (LPC,CSOTS)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:KISSELL
Last Name:KIMMEL
Suffix:
Gender:F
Credentials:LPC,CSOTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 E. GRAND RIVER
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843
Mailing Address - Country:US
Mailing Address - Phone:517-545-5944
Mailing Address - Fax:517-545-7390
Practice Address - Street 1:2020 E. GRAND RIVER
Practice Address - Street 2:SUITE 104
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843
Practice Address - Country:US
Practice Address - Phone:517-545-5944
Practice Address - Fax:517-545-7390
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health