Tebrugge, Michelle Dawn

Tebrugge, Michelle Dawn is an sole proprietor health care provider with primary practice located at 2663 Farragut Dr Suite A-5, Springfield IL 62704-1462. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Technologists, Technicians & Other Technical Service Providers / Medical Technologist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tebrugge, Michelle Dawn can be contacted via phone (217) 899-0108.

Contact Information

Primary practice address
2663 Farragut Dr Suite A-5 Springfield IL 62704-1462
Phone: (217) 899-0108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178008478 Illinois
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X 145265 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180010232 Illinois

Profile Details

NPI number 1316281777
LBN Legal business name Tebrugge, Michelle Dawn
Credentials MA, LCPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2012
Last updated May 7th, 2016 - about 8 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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