Individual
MISS MICHELLE LYNN KOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
5197 NW LOWER RIVER RD, VANCOUVER, WA 98660
(360) 205-1222
(360) 469-1720
Mailing address
2519 E MILL PLAIN BLVD APT 205, VANCOUVER, WA 98661-4363
(503) 465-7690
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
61285322
WA
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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