Provider Demographics
NPI:1174528327
Name:FRANCIES, KATHLEEN SUE (MS, LLP, LPC)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:SUE
Last Name:FRANCIES
Suffix:
Gender:F
Credentials:MS, LLP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 ONETA ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-5073
Mailing Address - Country:US
Mailing Address - Phone:248-969-5972
Mailing Address - Fax:248-642-6832
Practice Address - Street 1:700 N OLD WOODWARD AVE
Practice Address - Street 2:STE 300
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-1338
Practice Address - Country:US
Practice Address - Phone:248-642-8263
Practice Address - Fax:248-642-6832
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009097101YM0800X
MI6301007373103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI11548379OtherCAQH