| Doctor Name: | KIMBERLY K HANDWERK |
| NPI Number: | 1194062695 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LLPC, NCC |
| License Number: | 6401011817 |
| Business Practice Address: | 527 Cobbs St Cadillac, MI - 49601 |
| Business Phone Number: | 2317753463 |
| Business Fax Number: | 2317751692 |
| Mailing Address: | 527 Cobb St, CADILLAC |
| State: | MI |
| Postal Code: | 496012540 |
| Phone Number: | 2317753463 |
| Fax Number: | 2317751692 |
| NPI Enumeration Date: | 01/04/2013 |
| NPI Last Update Date: | 01/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401011817 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |