Provider Demographics
NPI:1982831194
Name:HALSELL, STEVEN ALEXANDER (MA, LLPC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALEXANDER
Last Name:HALSELL
Suffix:
Gender:M
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 S PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-1897
Mailing Address - Country:US
Mailing Address - Phone:517-648-7718
Mailing Address - Fax:517-367-0681
Practice Address - Street 1:1808 S PENNSYLVANIA AVE
Practice Address - Street 2:SUITE C
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-1897
Practice Address - Country:US
Practice Address - Phone:517-648-7718
Practice Address - Fax:517-367-0681
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010447101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional