Kingkittisack, Hannah

Kingkittisack, Hannah is an individual health care provider with primary practice located at 16500 Tireman St , Detroit MI 48228-3629. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Kingkittisack, Hannah can be contacted via phone (313) 451-1390.

Contact Information

Primary practice address
16500 Tireman St Detroit MI 48228-3629
Phone: (313) 451-1390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6362010066 Michigan

Profile Details

NPI number 1669961363
LBN Legal business name Kingkittisack, Hannah
Credentials LBA, TLLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2018
Last updated Nov 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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