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NPI Code Detail

MEDICARE: MS. MICHELLE MARIE RICHTER M.A., B.A.

MEDICARE: MS. MICHELLE MARIE RICHTER M.A., B.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor53-3-8-91ND

General Provider Information

NPI Number : 1598202624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE MARIE RICHTER M.A., B.A.
Provider Business Mailing Address
First Line : 2823 E COLORADO DR
Second Line :
City : BISMARCK
State : ND
Zip : 58503-5373
Country : US
Telephone Number : 701-255-8497
Fax Number :
Provider Business Practice Location Address
First Line : 1308 ELBOWOOD LN
Second Line :
City : BISMARCK
State : ND
Zip : 58503-5712
Country : US
Telephone Number : 701-751-0565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2017
Last Update Date : 11/22/2018

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