Individual
MICHELE E SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CP, CSAC
Contact information
Practice address
533 PEACE PIPE RD, LAC DU FLAMBEAU, WI 54538-0189
(715) 588-1511
(715) 588-3903
Mailing address
533 PEACE PIPE RD, PO BOX189, LAC DU FLAMBEAU, WI 54538-0189
(715) 588-1511
(715) 588-3903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16070-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17230-130
WI
103T00000X
Psychologist
31078
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43700100
—
WI
Enumeration date
02/01/2007
Last updated
05/16/2023
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