Individual
MICHELLE LOUISE LEVERENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
712 SUMMIT AVE STE 714, OCONOMOWOC, WI 53066-3827
(262) 226-2006
(262) 226-2462
Mailing address
7310 E RYAN RD, MILTON, WI 53563-9358
(608) 868-6885
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4864-125
WI
Other
Enumeration date
07/03/2013
Last updated
01/17/2024
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