Kathleen Ruth Gut, LPC

Individual provider Active NPI Professional Counselor · Pinckney, MI

NPI 1831591841 · NPPES record last updated Sep 22, 2014

Key facts

NPI
1831591841
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6401014331 (MI)
Practice address
4736 E M 36
Pinckney, MI 48169-9383
Phone
(810) 231-9591
Fax
(810) 231-9522
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6401014331MIMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401014331 MI Yes

Addresses

Primary practice location

4736 E M 36
Pinckney, MI 48169-9383

Mailing address

4736 E M 36
Pinckney, MI 48169-9383
Phone (810) 231-9591

Other providers in Pinckney, MI

All providers in Pinckney, MI · Professional Counselor in Michigan

Sources for this page

Verify at the official NPI Registry.