Doctor Name: | SARA GELLNER |
NPI Number: | 1003252487 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLMSW |
License Number: | 6801092196 |
Business Practice Address: | 2280 E Grand River Ave Howell, MI - 488438503 |
Business Phone Number: | 5175464126 |
Business Fax Number: | 5175461300 |
Mailing Address: | 622 E Grand River Ave, HOWELL |
State: | MI |
Postal Code: | 488432329 |
Phone Number: | 5175454126 |
Fax Number: | 5175480498 |
NPI Enumeration Date: | 05/13/2013 |
NPI Last Update Date: | 05/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801092196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |