MEDICARE: MICHELLE A SLABICKI

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	374J00000X	Doula
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1215246111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE A SLABICKI

Provider Business Mailing Address
First Line	:	PO BOX 839
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98206-0839
Country	:	US
Telephone Number	:	425-259-3191
Fax Number	:

Provider Business Practice Location Address
First Line	:	652 STATE ROUTE 369
Second Line	:
City	:	PORT CRANE
State	:	NY
Zip	:	13833-1409
Country	:	US
Telephone Number	:	607-240-1718
Fax Number	:

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

Provider Enumeration Date	:	09/27/2010
Last Update Date	:	07/11/2022

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Directions to “ MICHELLE A SLABICKI ” Practice Location

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