Durkalski, Michele Rene

Durkalski, Michele Rene is an individual health care provider with primary practice located at 104 Reynolds Rd , Glasgow KY 42141-1177. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Durkalski, Michele Rene can be contacted via phone (270) 678-4801.

Contact Information

Primary practice address
104 Reynolds Rd Glasgow KY 42141-1177
Fax: (270) 678-3866
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 104831 Kentucky

Profile Details

NPI number 1710954425
LBN Legal business name Durkalski, Michele Rene
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Sep 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710954425 NPPES
Kentucky MEDICAID 7100728760

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