Individual
MICHELLE LYNN DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAMFT, CSAC
Contact information
Practice address
429 W BROADWAY AVE, MEDFORD, WI 54451-1608
(715) 748-4312
Mailing address
429 W BROADWAY AVE, MEDFORD, WI 54451-1608
(715) 748-4312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17043-132
WI
106H00000X
Marriage & Family Therapist
Primary
761-228
WI
Other
Enumeration date
05/29/2019
Last updated
05/05/2026
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