Individual
MICHELLE LEE BARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
208 LONGVIEW AVE, GREEN BAY, WI 54301-1034
(920) 615-2518
Mailing address
208 LONGVIEW AVE, GREEN BAY, WI 54301-1034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6756-125
WI
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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