MEDICARE: MRS. MICHELLE D KISLER MA, E.D.S, LPC, NCC

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
1	101YS0200X	School Counselor	5156784	PA
2	101YS0200X	School Counselor	NJ 803698	NJ
3	101YP2500X	Professional Counselor	PC005631	PA

General Provider Information

NPI Number	:	1720363070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE D KISLER MA, E.D.S, LPC, NCC

Provider Business Mailing Address
First Line	:	17 CHAMBERLAIN WAY
Second Line	:
City	:	FALLSINGTON
State	:	PA
Zip	:	19054-2508
Country	:	US
Telephone Number	:	215-880-1789
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 CHAMBERLAIN WAY
Second Line	:
City	:	FALLSINGTON
State	:	PA
Zip	:	19054-2508
Country	:	US
Telephone Number	:	215-880-1789
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2011
Last Update Date	:	07/12/2025

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