Individual
DR. MICHELLE LYNN THOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LPC
Contact information
Practice address
307 N CASCADE ST, THIRD FLOOR, OSCEOLA, WI 54020
(612) 554-8914
(715) 755-2669
Mailing address
PO BOX 246, OSCEOLA, WI 54020-0246
(612) 554-8914
(715) 417-3103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301177
MN
101YP2500X
Professional Counselor
Primary
3989-125
WI
Other
Enumeration date
09/24/2008
Last updated
01/17/2020
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