Basic Information
| Provider Information | |||||||||
| NPI: | 1427324565 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOWELL | ||||||||
| FirstName: | KELSEA | ||||||||
| MiddleName: | ANNE | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 229 E MICHIGAN AVE STE 345 | ||||||||
| Address2: | |||||||||
| City: | KALAMAZOO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490076403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2692546613 | ||||||||
| FaxNumber: | 2694432166 | ||||||||
| Practice Location | |||||||||
| Address1: | 229 E MICHIGAN AVE STE 345 | ||||||||
| Address2: | |||||||||
| City: | KALAMAZOO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490076403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2699934373 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2012 | ||||||||
| LastUpdateDate: | 03/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 6401013540 | MI | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.