Individual
MS. LISA MICHELE MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1414 W 28TH ST, LOVELAND, CO 80538-3101
(970) 225-2623
(866) 824-3005
Mailing address
1414 W 28TH ST, LOVELAND, CO 80538-3101
(970) 225-2623
(866) 824-3005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4519
CO
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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