Individual
MRS. COLETTE M MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9200 N SUN VALLEY DR, PALMER, AK 99645-9254
(907) 745-4295
Mailing address
9200 N SUN VALLEY DR, PALMER, AK 99645-9254
(907) 745-4295
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
AK
171W00000X
Contractor
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM6430
—
AK
05
—
CMG
—
AK
Enumeration date
06/04/2007
Last updated
09/11/2025
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