Individual
EMILY RAE MICHENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
320 W CHERRY ST, NORTH LIBERTY, IA 52317-8819
(319) 626-3300
Mailing address
150 JUNIPER CT, NORTH LIBERTY, IA 52317-9399
(319) 325-7708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
081115
IA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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