Dvorak, Michelle Lynn
Dvorak, Michelle Lynn is an individual health care provider with primary practice located at 429 W Broadway Ave , Medford WI 54451-1608. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Dvorak, Michelle Lynn can be contacted via phone (715) 748-4312.Contact Information
Primary practice address
429 W Broadway Ave
Medford WI 54451-1608
Phone: (715) 748-4312
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 17043-132 | Wisconsin |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 761-228 | Wisconsin |
Profile Details
| NPI number | 1275191900 |
|---|---|
| LBN Legal business name | Dvorak, Michelle Lynn |
| Credentials | MS, LAMFT, CSAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2019 |
| Last updated | Oct 23rd, 2023 - about 2 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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