Individual
DR. ANTHONY A MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
25 W BROAD ST, SUITE 10, COOKEVILLE, TN 38501-2583
(903) 407-3800
Mailing address
1217 BUCKINGHAM PL, COOKEVILLE, TN 38501-0730
(903) 407-3800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1661
MS
101YM0800X
Mental Health Counselor
Primary
3278
TN
101YM0800X
Mental Health Counselor
62605
TX
Other
Enumeration date
11/07/2012
Last updated
07/15/2016
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