MEDICARE: MICHELLE MORGAN MA

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1730202888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MORGAN MA

Provider Business Mailing Address
First Line	:	2295 SUN GLORY LN # A
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-1464
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2295 SUN GLORY LN # A
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-1464
Country	:	US
Telephone Number	:	408-644-9227
Fax Number	:

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/08/2007

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