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NPI Code Detail

MEDICARE: KRISTY MARIE MICHALSKI

MEDICARE:   KRISTY MARIE MICHALSKI
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCAPRE.195119OH

General Provider Information

NPI Number : 1598616088
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY MARIE MICHALSKI
Provider Business Mailing Address
First Line : 5137 ALLEN ST
Second Line :
City : SYLVANIA
State : OH
Zip : 43560-2821
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4352 W SYLVANIA AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43623-3463
Country : US
Telephone Number : 419-561-5433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ KRISTY MARIE MICHALSKI ” Practice Location

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