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Individual
MICHELLE HYATT
Active
Individual
MICHELLE HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6900
SC
101YM0800X
Mental Health Counselor
Primary
6900
SC
101YP2500X
Professional Counselor
6900
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134628514
—
SC
Enumeration date
02/12/2018
Last updated
10/11/2019
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