Doctor Name: | MICHAEL KESSLER |
NPI Number: | 1154775278 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC, CRC, RMT |
License Number: | LPCC637 |
Business Practice Address: | 3060 El Cerrito Plz 253 El Cerrito, CA - 945304011 |
Business Phone Number: | 4157107728 |
Business Fax Number: | |
Mailing Address: | 3060 El Cerrito Plz, 253 EL CERRITO |
State: | CA |
Postal Code: | 945304011 |
Phone Number: | 4157107728 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2016 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPCC637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |