Provider Demographics
NPI:1033279385
Name:ZIEMER, KATHY M (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:M
Last Name:ZIEMER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:M
Other - Last Name:BARTELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3943 WAGARVILLE RD
Mailing Address - Street 2:
Mailing Address - City:GLADWIN
Mailing Address - State:MI
Mailing Address - Zip Code:48624-8985
Mailing Address - Country:US
Mailing Address - Phone:989-426-3994
Mailing Address - Fax:
Practice Address - Street 1:655 E CEDAR AVE
Practice Address - Street 2:
Practice Address - City:GLADWIN
Practice Address - State:MI
Practice Address - Zip Code:48624-2215
Practice Address - Country:US
Practice Address - Phone:989-426-9295
Practice Address - Fax:989-426-2251
Is Sole Proprietor?:No
Enumeration Date:2006-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
6401006259101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional