Individual
MRS. MICHELLE ANN DOWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 S WALNUT ST, SEYMOUR, IN 47274-3276
(812) 522-1440
Mailing address
712 S WALNUT ST, SEYMOUR, IN 47274-2924
(920) 248-2640
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
15348131
WI
101YP2500X
Professional Counselor
Primary
345975
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15348131
DEPT OF REGULATION LIC
WI
05
—
39178400
—
WI
Enumeration date
10/17/2007
Last updated
10/25/2020
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