Individual
ELLEN M KEYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3616 WASHINGTON ST, LAKEPORT, MI 48059-1965
(810) 984-4202
Mailing address
3616 WASHINGTON ST, LAKEPORT, MI 48059-1965
(810) 824-2088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401223525
MI
Other
Enumeration date
08/16/2006
Last updated
11/06/2023
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