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NPI Code Detail

MEDICARE: MISS MICHELLE VORWALD LMHC

MEDICARE:  MISS MICHELLE  VORWALD  LMHC
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
1101YM0800XMental Health Counselor001720IA

General Provider Information

NPI Number : 1538589247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MICHELLE VORWALD LMHC
Provider Business Mailing Address
First Line : 1582 PROGRESS ST
Second Line :
City : NORTH LIBERTY
State : IA
Zip : 52317-7304
Country : US
Telephone Number : 319-621-1441
Fax Number :
Provider Business Practice Location Address
First Line : 1582 PROGRESS ST
Second Line :
City : NORTH LIBERTY
State : IA
Zip : 52317-7304
Country : US
Telephone Number : 319-621-1441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2014
Last Update Date : 04/21/2014

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Directions to “ MISS MICHELLE VORWALD LMHC” Practice Location

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