Individual
MICHELLE HUMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
444 S WILLOW ST STE 7, EFFINGHAM, IL 62401-3764
(217) 347-7384
Mailing address
444 S WILLOW ST STE 7, EFFINGHAM, IL 62401-3764
(217) 347-7384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31975
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
COUNSELING
IL
Enumeration date
01/22/2020
Last updated
01/22/2020
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