Provider Demographics
NPI:1538357157
Name:ZEHR, KELSON E (MA, LPC , CRC, LSW)
Entity type:Individual
Prefix:
First Name:KELSON
Middle Name:E
Last Name:ZEHR
Suffix:
Gender:M
Credentials:MA, LPC , CRC, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2472 MULBERRY SQ
Mailing Address - Street 2:UNIT 22C
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0698
Mailing Address - Country:US
Mailing Address - Phone:248-789-8228
Mailing Address - Fax:248-454-6490
Practice Address - Street 1:2472 MULBERRY SQ
Practice Address - Street 2:UNIT 22C
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0698
Practice Address - Country:US
Practice Address - Phone:248-789-8228
Practice Address - Fax:248-454-6490
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007766101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor