Individual
MRS. MICHELLE L MICHENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1370 S COMMERCIAL ST, NEENAH, WI 54956-4636
(920) 268-6940
Mailing address
N433 MAPLERIDGE DR, APPLETON, WI 54915-8754
(920) 268-6940
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4816-125
WI
101Y00000X
Counselor
740-226
WI
101YP2500X
Professional Counselor
4816-125
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/09/2006
Last updated
06/17/2020
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