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Mrs. Michelle L Waack, MAC,LPC,CSAC
Counselor in Green Bay, Wisconsin
NPI 1336784545

Michelle L Waack is a Counselor based in Green Bay, WI. Michelle L Waack practices in Green Bay, WI and has the professional credentials of MAC,LPC,CSAC. The NPI Number for Michelle L Waack is 1336784545 and holds a License No. 16594-132 (Wisconsin).

The current practice location address for Michelle L Waack is 1270 Main St Ste 120, Green Bay, WI and can be reached out via phone at 920-288-2846 and via fax at 920-770-4153.

Location: 1270 Main St Ste 120, Green Bay, WI, 54302-1337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336784545
Provider Name
Michelle L Waack
Credential
MAC,LPC,CSAC
Provider Entity Type
Individual
Gender
Female
Address
1270 Main St Ste 120, Green Bay, WI, 54302-1337
Phone Number
920-288-2846
Fax Number
920-770-4153
Provider Enumeration Date
11/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100095134 05 WI
institution
Provider Business Practice Location Address Details
Address
1270 Main St Ste 120
City
Green Bay
State
Wisconsin
Zip
54302-1337
Phone Number
920-288-2846
Fax Number
920-770-4153
person
Provider Business Mailing Address Details
Address
1270 Main St Ste 120
City
Green Bay
State
Wisconsin
Zip
54302-1337
Phone Number
920-288-2846
Fax Number
920-770-4153
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
8568-125 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
16594-132 (Wisconsin)
Definition
Definition to come...
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