Individual
MICHELLE RENEE HIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6157 STONEY CREEK DR, FORT WAYNE, IN 46825-4409
(260) 570-4515
Mailing address
6157 STONEY CREEK DR, FORT WAYNE, IN 46825-4409
(260) 570-4515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
02/29/2024
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