MEDICARE: MR. MICHAEL PAUL ALMETER LPC, MAC

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	101YP2500X	Professional Counselor	005733	GA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	507540

General Provider Information

NPI Number	:	1932407483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL PAUL ALMETER LPC, MAC

Provider Business Mailing Address
First Line	:	183 ACADEMIC DR
Second Line	:	BLDG 39721
City	:	FORT GORDON
State	:	GA
Zip	:	30905-5933
Country	:	US
Telephone Number	:	706-787-0365
Fax Number	:

Provider Business Practice Location Address
First Line	:	183 ACADEMIC DR
Second Line	:	BLDG 39721
City	:	FORT GORDON
State	:	GA
Zip	:	30905-5933
Country	:	US
Telephone Number	:	706-787-0365
Fax Number	:

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

Provider Enumeration Date	:	03/08/2011
Last Update Date	:	10/03/2013

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