Individual
MRS. MICHELLE RENEE PAINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15201 S ROUTE 59, PLAINFIELD, IL 60544-2681
(815) 474-8903
Mailing address
7730 S HOLM RD, DWIGHT, IL 60420-9674
(815) 374-0022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.017434
IL
Other
Enumeration date
10/24/2021
Last updated
10/24/2021
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