Provider Demographics
NPI:1699110031
Name:WEBSTER, ANN LOUISE (MA, LPC, CAADC, CCS)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:LOUISE
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:MA, LPC, CAADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2943 CORNELL ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3216
Mailing Address - Country:US
Mailing Address - Phone:989-430-9621
Mailing Address - Fax:
Practice Address - Street 1:2943 CORNELL ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3216
Practice Address - Country:US
Practice Address - Phone:989-430-9621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2-01378101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)