Individual provider · Type 1 NPI
Ann Kathryn Modzeleski, LPC
Professional Counselor · Grand Rapids, MI
NPI number
1457504847
Active
Practice location
300 68th St SE
Grand Rapids, MI 49548-6927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 6301014035 (MI) |
| Professional Counselor Primary | 101YP2500X | 6401011086 (MI) |
Professional Counselor: Definition to come...
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About NPI 1457504847
Ann Kathryn Modzeleski, LPC's National Provider Identifier is 1457504847, issued on Oct 29, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 12, 2023.