Individual
MICHELLE OWUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCCI
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180007353
IL
101YP2500X
Professional Counselor
Primary
4500
CA
Other
Enumeration date
12/01/2009
Last updated
03/17/2018
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