Individual
MICHELE YURGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMHC, NCC
Contact information
Practice address
206 E B ST, RAINIER, OR 97048-2667
(971) 808-1406
Mailing address
PO BOX 1343, RAINIER, OR 97048-1343
(410) 440-8894
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C6843
OR
101Y00000X
Counselor
LH61102250
WA
101Y00000X
Counselor
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500752946
—
OR
Enumeration date
09/18/2018
Last updated
09/13/2022
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