Provider Demographics
NPI:1609754266
Name:GEFKE, MICHELLE KRISTIN (LLPC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:KRISTIN
Last Name:GEFKE
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-1823
Mailing Address - Country:US
Mailing Address - Phone:906-523-7064
Mailing Address - Fax:
Practice Address - Street 1:1014 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-1823
Practice Address - Country:US
Practice Address - Phone:906-523-7064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451024405101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health