MEDICARE: JENNIFER MICHLER

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	106H00000X	Marriage & Family Therapist	000398	IA

General Provider Information

NPI Number	:	1285001792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MICHLER

Provider Business Mailing Address
First Line	:	2426 GREEN CREEK RD
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613
Country	:	US
Telephone Number	:	319-830-2463
Fax Number	:

Provider Business Practice Location Address
First Line	:	2426 GREEN CREEK RD
Second Line	:
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-5580
Country	:	US
Telephone Number	:	319-830-2463
Fax Number	:

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

Provider Enumeration Date	:	09/01/2015
Last Update Date	:	09/01/2015

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Directions to “ JENNIFER MICHLER ” Practice Location

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