Individual
MICHAEL MCLOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
141 SIEGLER ST, GREEN BAY, WI 54303-2635
(920) 433-3372
(920) 437-3540
Mailing address
PO BOX 22308, GREEN BAY, WI 54305-2308
(920) 436-6800
(920) 437-3540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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