Individual
ANN M ACKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LMSW LMFT
Contact information
Practice address
605 HOWARD ST, KALAMAZOO, MI 49008-1919
(269) 343-4320
(269) 343-4327
Mailing address
605 HOWARD ST, KALAMAZOO, MI 49008-1919
(269) 343-4320
(269) 343-4327
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801067450
MI
106H00000X
Marriage & Family Therapist
4101006236
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6130497
—
MI
Enumeration date
04/26/2006
Last updated
03/05/2012
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