Michener Child and Adolescent Counseling, LLC

NPI #1003486523 in Neenah, Wisconsin

Provider Information

NPI Number: 1003486523
Entity Type: Organization
Organization Name: Michener Child and Adolescent Counseling, LLC
Primary Specialty: Counselor
Enumeration Date: Jun 28, 2021
Last Updated: Jun 28, 2021

Practice Location

Address: 1370 S COMMERCIAL ST
City: Neenah
State: Wisconsin
ZIP Code: 54956-4636
Phone: (920) 268-6940

Authorized Official

Name: MICHELLE MICHENER, LPC
Title: OWNER/PROVIDER
Phone: (920) 268-6940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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