NPIRadar

Karen J Michaelson, LCPC Valid NPI

Individual provider · Mental Health Counselor · Chubbuck, ID

NPI
1811085442
Type
Individual (Type 1)
Primary specialty
Mental Health Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YM0800X
License number
LCPC3167 (ID)
Sex
Female
Sole proprietor
Yes
Enumerated
2006-10-10
Last updated
2007-07-09
Practice location
4460 Kings Way Ste 2
Chubbuck, ID 83202-1900
(208) 237-1711

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