Individual
DR. MICHELE DENISE PERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
912 BAXTER AVE, SUPERIOR, WI 54880-1735
(218) 591-5018
Mailing address
912 BAXTER AVE, SUPERIOR, WI 54880-1735
(218) 591-5018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16265-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-01642
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302718
MN
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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