Organization
MICHENER CHILD AND ADOLESCENT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MICHENER LPC (OWNER/PROVIDER)
(920) 268-6940
Entity
Organization
Contact information
Practice address
1370 S COMMERCIAL ST, NEENAH, WI 54956-4636
(920) 268-6940
Mailing address
N433 MAPLERIDGE DR, APPLETON, WI 54915-8754
(920) 268-6940
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245830926
—
WI
05
—
1336210764
—
WI
05
—
1780225292
—
WI
Enumeration date
06/28/2021
Last updated
06/28/2021
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