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