person
Michelle A Grimm, MED
Professional Counselor in Shawano, Wisconsin
NPI 1568657195

Michelle A Grimm is a Professional Counselor based in Shawano, WI and is specialized in Professional. Michelle A Grimm practices in Shawano, WI and has the professional credentials of MED. The NPI Number for Michelle A Grimm is 1568657195 and holds a License No. 14267 (Wisconsin).

The current practice location address for Michelle A Grimm is 504 Lakeland Rd, Shawano, WI and can be reached out via phone at 715-526-5547 and via fax at 715-526-5542.

Location: 504 Lakeland Rd, Shawano, WI, 54166-3836
person
Provider Profile Details
NPI Number
1568657195
Provider Name
Michelle A Grimm
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
504 Lakeland Rd, Shawano, WI, 54166-3836
Phone Number
715-526-5547
Fax Number
715-526-5542
Provider Enumeration Date
09/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40968400 05 WI
institution
Provider Business Practice Location Address Details
Address
504 Lakeland Rd
City
State
Zip
54166-3836
Phone Number
715-526-5547
Fax Number
715-526-5542
person
Provider Business Mailing Address Details
Address
504 Lakeland Rd
City
State
Zip
54166-3836
Phone Number
715-526-5547
Fax Number
715-526-5542
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3370125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
14267 (Wisconsin)
Definition
Definition to come...
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