Provider Demographics
NPI:1497238117
Name:SCHAFER, JOSIE KLEINERT (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JOSIE
Middle Name:KLEINERT
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 BLACKBIRD RD
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-9711
Mailing Address - Country:US
Mailing Address - Phone:231-758-2233
Mailing Address - Fax:
Practice Address - Street 1:2206 MITCHELL PARK DR STE 10
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8674
Practice Address - Country:US
Practice Address - Phone:231-487-6076
Practice Address - Fax:231-487-6569
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-09
Last Update Date:2018-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016169101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty