MEDICARE: MISS CHRISTINE M MICHAUD LMHC, LCPC, NCC, DCC

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	2382	KS
2	101YM0800X	Mental Health Counselor	7927	FL

General Provider Information

NPI Number	:	1952312423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CHRISTINE M MICHAUD LMHC, LCPC, NCC, DCC

Provider Business Mailing Address
First Line	:	USA MEDDAC BAVARIA
Second Line	:	CMR 411 BLDG 700
City	:	APO
State	:	AE
Zip	:	09112
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	MEDDAC BAVARIA
Second Line	:	UNIT 28037
City	:	APO
State	:	AE
Zip	:	09112-8037
Country	:	US
Telephone Number	:	941-421-2915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	08/29/2024

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