Provider Demographics
NPI:1316260755
Name:CLAUSSEN, LEE ANN (MA, LLPC)
Entity type:Individual
Prefix:MS
First Name:LEE ANN
Middle Name:
Last Name:CLAUSSEN
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:MRS
Other - First Name:LEE ANN
Other - Middle Name:MILLER
Other - Last Name:CLAUSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LLPC
Mailing Address - Street 1:1010 DOBBIN DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-5510
Mailing Address - Country:US
Mailing Address - Phone:269-544-1527
Mailing Address - Fax:269-324-8013
Practice Address - Street 1:1010 DOBBIN DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006-5510
Practice Address - Country:US
Practice Address - Phone:269-544-1527
Practice Address - Fax:269-324-8013
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1681227101Y00000X, 101YM0800X, 101YP2500X
MI140725101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool