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Individual

COURTNEY MARIE MICHALAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5720 GATEWAY STE 204, MASON, OH 45040-1891
(513) 445-9959
(513) 725-1276
Mailing address
241 WOOD FORGE CIR, LEBANON, OH 45036-8559
(513) 518-7882

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2405983-TRNE
OH
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0062663
OH
01
16284816
CAQH
Enumeration date
08/20/2024
Last updated
08/14/2025
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