Provider Demographics
NPI:1386723542
Name:ALFS, KATHARINE KIEFER (LPC)
Entity type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:KIEFER
Last Name:ALFS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 N CONKLIN RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48362-1712
Mailing Address - Country:US
Mailing Address - Phone:248-425-4835
Mailing Address - Fax:586-263-2762
Practice Address - Street 1:43422 GARFIELD RD. SUITE A
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038
Practice Address - Country:US
Practice Address - Phone:586-263-2760
Practice Address - Fax:586-263-2762
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401000862101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health