MEDICARE: DEBORAH MICHAEL LPC

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	101Y00000X	Counselor	LPC1248	WY
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1164748653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH MICHAEL LPC

Provider Business Mailing Address
First Line	:	141 S CENTER ST STE 304
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-2543
Country	:	US
Telephone Number	:	307-262-8572
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 S CENTER ST
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-2537
Country	:	US
Telephone Number	:	307-262-8572
Fax Number	:

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

Provider Enumeration Date	:	04/09/2010
Last Update Date	:	05/23/2024

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Directions to “ DEBORAH MICHAEL LPC” Practice Location

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