Individual
MICHELLE SICHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2971 E COPPER POINT DR, MERIDIAN, ID 83642-5101
(208) 376-5683
Mailing address
2225 E STAR LN, MERIDIAN, ID 83646-5524
(208) 863-4171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-957
ID
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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