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NPI Code Detail

MEDICARE: MS. MICHELLE R NAULT MA, LPC

MEDICARE: MS. MICHELLE R NAULT MA, 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
1101YP2500XProfessional Counselor2761AL

General Provider Information

NPI Number : 1376606806
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE R NAULT MA, LPC
Provider Business Mailing Address
First Line : 2700 CORPORATE DR STE 200
Second Line : SUITE 102
City : BIRMINGHAM
State : AL
Zip : 35242-2733
Country : US
Telephone Number : 205-314-4761
Fax Number : 205-314-4701
Provider Business Practice Location Address
First Line : 2700 CORPORATE DR STE 200
Second Line : SUITE 102
City : BIRMINGHAM
State : AL
Zip : 35242-2733
Country : US
Telephone Number : 205-314-4761
Fax Number : 205-314-4701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 05/10/2017

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