Individual
MICHELLE FAHRNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT
Contact information
Practice address
4601 N OAKLAND AVE STE 221, SHOREWOOD, WI 53211-1232
(414) 202-7754
Mailing address
4035 N STOWELL AVE, SHOREWOOD, WI 53211-2133
(414) 202-7754
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3707-226
WI
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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