MEDICARE: MICHELLE DUTCHER MA, LPC, PLLC

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1912516048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELLE DUTCHER MA, LPC, PLLC

Provider Business Mailing Address
First Line	:	7325 INGOMAR LN
Second Line	:
City	:	CLARKSTON
State	:	MI
Zip	:	48348-5402
Country	:	US
Telephone Number	:	248-444-3374
Fax Number	:	248-856-2697

Provider Business Practice Location Address
First Line	:	8040 ORTONVILLE RD STE A
Second Line	:
City	:	CLARKSTON
State	:	MI
Zip	:	48348-4468
Country	:	US
Telephone Number	:	248-444-3374
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICAL THERAPIST
Name	:	MICHELLE DUTCHER
Credential	:	MA, LPC
Telephone Number	:	248-444-3374

Provider Enumeration Date	:	07/24/2020
Last Update Date	:	08/12/2025

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