Provider Demographics
NPI:1669746319
Name:KESSLER, MICHELLE M (PC-CR)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:M
Last Name:KESSLER
Suffix:
Gender:F
Credentials:PC-CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 W. WYANDOT AVENUE
Mailing Address - Street 2:
Mailing Address - City:UPPER SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:43351
Mailing Address - Country:US
Mailing Address - Phone:419-294-5795
Mailing Address - Fax:419-294-5795
Practice Address - Street 1:117 W WYANDOT AVE
Practice Address - Street 2:
Practice Address - City:UPPER SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:43351-1348
Practice Address - Country:US
Practice Address - Phone:419-294-5795
Practice Address - Fax:419-294-5795
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1000431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health