Individual
MICHAEL LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 N 34TH ST STE 100, SUPERIOR, WI 54880-4476
(715) 392-8216
(715) 392-6055
Mailing address
1500 N 34TH ST STE 100, SUPERIOR, WI 54880-4476
(715) 392-8216
(715) 392-6055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
11/16/2021
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