| Doctor Name: | MICHELLE GERMINDER |
| NPI Number: | 1003160854 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS,RSST,RAC,IMH-E(R) |
| License Number: | |
| Business Practice Address: | 915 W. Green St. Hastings, MI - 490581723 |
| Business Phone Number: | 2699488041 |
| Business Fax Number: | 2699489319 |
| Mailing Address: | 915 W. Green St., HASTINGS |
| State: | MI |
| Postal Code: | 490581723 |
| Phone Number: | 2699488041 |
| Fax Number: | 2699489319 |
| NPI Enumeration Date: | 11/01/2012 |
| NPI Last Update Date: | 11/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |