Individual
MICHELLE L PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
711 N BRIDGE STREET, ROOM 122, CHIPPEWA FALLS, WI 54729-1876
(715) 726-7788
(715) 726-4560
Mailing address
711 N BRIDGE STREET, ROOM 122, CHIPPEWA FALLS, WI 54729-1876
(715) 726-7788
(715) 726-4560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3739125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43702000
—
WI
Enumeration date
11/17/2006
Last updated
07/08/2007
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