# KELSY HOERAUF PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205303369
- **Authorized official:** KELSY D HOERAUF LMFT (PRESIDENT)
- **Authorized official phone:** (810) 730-5444

## Contact information

- **Practice address:** 4031 OWEN RD, FENTON, MI 48430-9100
- **Practice address phone:** (810) 730-5444
- **Mailing address:** 515 RIDGEWOOD, LINDEN, MI 48451-9164
- **Mailing address phone:** (810) 730-5444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2018
- **Last updated:** 10/26/2018