Katherine Mary Albertson, LPC
Individual provider Active NPI Professional Counselor · Jackson, MI
NPI 1376859926 · NPPES record last updated Aug 20, 2010
Key facts
- NPI
- 1376859926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6401010635 (MI)
- Practice address
- 5455 Vrooman Rd
Jackson, MI 49201-9379 - Phone
- (517) 563-2161
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401010635 | MI | MD | Professional Counselor |
| 229755 | MI | MD | School Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401010635 | MI | Yes |
| School Counselor | 101YS0200X | 229755 | MI |
Addresses
Primary practice location
5455 Vrooman Rd
Jackson, MI 49201-9379
Mailing address
5455 Vrooman Rd
Jackson, MI 49201
Phone (517) 563-2161
Other providers in Jackson, MI
- Fadi Alali
- Warda Z Alam
- Chidamber Bharath Alamelumangapuram
- Zakia Iqbal Alavi
- Zaineb Burhan Albachachy
- Robert Durffee Albertson III
- Heather Albrecht
- Ronda Kay Albrecht
- Gay Alcenius
- Douglas Aldridge
All providers in Jackson, MI · Professional Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.