Doctor Name: | MRS. MICHELLE COLLEEN PRINGLE |
NPI Number: | 1023455037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFTI |
License Number: | |
Business Practice Address: | 11818 Riverside Dr Apt 135 Valley Village, CA - 916074077 |
Business Phone Number: | 8185211413 |
Business Fax Number: | |
Mailing Address: | 11818 Riverside Dr, Apt 135 VALLEY VILLAGE |
State: | CA |
Postal Code: | 916074077 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/30/2013 |
NPI Last Update Date: | 05/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |