Provider Demographics
NPI:1447870407
Name:GLADDING, KASEY SUE (LLPC)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:SUE
Last Name:GLADDING
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 OKEMOS ST
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-1224
Mailing Address - Country:US
Mailing Address - Phone:517-833-8100
Mailing Address - Fax:888-977-2109
Practice Address - Street 1:525 OKEMOS ST
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:MI
Practice Address - Zip Code:48854-1224
Practice Address - Country:US
Practice Address - Phone:517-833-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health