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Individual

MR. JAMES GERALD MICHEHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED.

Contact information

Practice address
800 MAIN ST, SUITE 28, ANTIOCH, IL 60002-1542
(847) 347-4357
(866) 931-5820
Mailing address
800 MAIN ST, SUITE 28, ANTIOCH, IL 60002-1542
(847) 347-4357
(866) 931-5820

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180008199
IL

Other

Enumeration date
08/13/2008
Last updated
05/22/2012
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