Individual
MICHELLE PATRICIA MCHENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC W/ SA SPEC
Contact information
Practice address
700 3RD ST N, SUITE 205, LACROSSE, WI 54601-9303
(608) 782-1400
(608) 782-1002
Mailing address
700 3RD ST N STE 205, LA CROSSE, WI 54601-3288
(608) 782-1400
(608) 782-1002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5512-125
WI
101YP2500X
Professional Counselor
Primary
5512-125
WI
1041C0700X
Clinical Social Worker
9720-120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100044381
—
WI
Enumeration date
11/18/2008
Last updated
01/31/2019
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