Provider Demographics
NPI:1700909918
Name:CLEVERING, ANNE M (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:M
Last Name:CLEVERING
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5090 STATE ST STE B103
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3778
Mailing Address - Country:US
Mailing Address - Phone:989-799-1934
Mailing Address - Fax:989-497-8158
Practice Address - Street 1:5090 STATE ST STE B103
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-3778
Practice Address - Country:US
Practice Address - Phone:989-799-1934
Practice Address - Fax:989-497-8158
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401002012101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional