Doctor Name: | MRS. MICHELLE VENEE BILSKI |
NPI Number: | 1073947578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC007082 |
Business Practice Address: | 142 N Main St Moscow, PA - 184449149 |
Business Phone Number: | 5707805004 |
Business Fax Number: | 5704570189 |
Mailing Address: | 142 N Main St, Po Box 918 MOSCOW |
State: | PA |
Postal Code: | 184449149 |
Phone Number: | 5707805004 |
Fax Number: | 5704570189 |
NPI Enumeration Date: | 09/03/2013 |
NPI Last Update Date: | 11/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC007082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |