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Micah A Gillen, MS,LPC
Professional Counselor in Adrian, Michigan
NPI 1922513894

Micah A Gillen is a Professional Counselor based in Adrian, MI and is specialized in Professional. Micah A Gillen practices in Adrian, MI and has the professional credentials of MS,LPC. The NPI Number for Micah A Gillen is 1922513894 and holds a License No. 2017042234 (Michigan).

The current practice location address for Micah A Gillen is 1040 S Winter St Ste 1022, Adrian, MI and can be reached out via phone at 517-263-8905.

Location: 1040 S Winter St Ste 1022, Adrian, MI, 49221-3876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922513894
Provider Name
Micah A Gillen
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Male
Address
1040 S Winter St Ste 1022, Adrian, MI, 49221-3876
Phone Number
517-263-8905
Fax Number
Provider Enumeration Date
12/13/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2017042234 01 MO PLPC LICENSE
490054503 05 MO
institution
Provider Business Practice Location Address Details
Address
1040 S Winter St Ste 1022
City
Adrian
State
Michigan
Zip
49221-3876
Phone Number
517-263-8905
Fax Number
person
Provider Business Mailing Address Details
Address
1040 S Winter St Ste 1022
City
Adrian
State
Michigan
Zip
49221-3876
Phone Number
517-263-8905
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2017042234 (Missouri)
Definition
Definition to come...
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