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NPI Code Detail

MEDICARE: MICHELLE ELIZABETH GLASGOW MA,LPC,NCC

MEDICARE: MICHELLE ELIZABETH GLASGOW MA,LPC,NCC
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
1101YP2500XProfessional Counselor6401007007MI

General Provider Information

NPI Number : 1295135192
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ELIZABETH GLASGOW MA,LPC,NCC
Provider Business Mailing Address
First Line : 23867 WALLACE PL
Second Line :
City : PARIS
State : MI
Zip : 49338-9453
Country : US
Telephone Number : 317-451-1442
Fax Number :
Provider Business Practice Location Address
First Line : 525 4TH ST
Second Line :
City : BALDWIN
State : MI
Zip : 49304-9518
Country : US
Telephone Number : 231-745-3116
Fax Number : 231-745-3136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2014
Last Update Date : 11/20/2023

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