Individual
MS. MICHELLE LEE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3900 W BROWN DEER RD, SUITE 200, BROWN DEER, WI 53209
(414) 540-2170
(414) 540-2171
Mailing address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 789-1191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4779-125
WI
101YM0800X
Mental Health Counselor
—
WI
101YP2500X
Professional Counselor
Primary
4779-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40991100
—
WI
Enumeration date
12/19/2006
Last updated
12/18/2024
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