Individual
CHANEL MICHELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7726
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0016929
CO
Other
Enumeration date
02/18/2019
Last updated
10/26/2023
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