Individual
MS. MICHELE ANNE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, CSAC, LPC
Contact information
Practice address
1500 N 34TH ST, SUITE 200, SUPERIOR, WI 54880-4477
(715) 392-8216
(715) 392-6055
Mailing address
3600 TOWER AVE, SUPERIOR, WI 54880
(715) 392-1955
(715) 392-1935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1651-132
WI
101YP2500X
Professional Counselor
Primary
5453-125
WI
Other
Enumeration date
02/21/2012
Last updated
03/23/2018
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