Provider Demographics
NPI:1811422009
Name:EILERS, KATHERINE AJLUNI (LLMFT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:AJLUNI
Last Name:EILERS
Suffix:
Gender:F
Credentials:LLMFT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:MARIA
Other - Last Name:AJLUNI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLMSW
Mailing Address - Street 1:5841 WHITMORE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-2470
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2200 GENOA BUSINESS PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-5328
Practice Address - Country:US
Practice Address - Phone:810-227-6218
Practice Address - Fax:810-215-1334
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101007133106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist