Individual
CAROLYN MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD OTR/L
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225X00000X
Occupational Therapist
Primary
137212
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0157
—
AK
Enumeration date
06/10/2010
Last updated
09/20/2018
Update your record
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