| Doctor Name: | MICHELLE RAE THEESFELD |
| NPI Number: | 1255634846 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LMHC |
| License Number: | 001362 |
| Business Practice Address: | 3726 450th Ave Emmetsburg, IA - 505368584 |
| Business Phone Number: | 7128523101 |
| Business Fax Number: | 7128523100 |
| Mailing Address: | Po Box 70, ROCK VALLEY |
| State: | IA |
| Postal Code: | 512470070 |
| Phone Number: | 7124763281 |
| Fax Number: | 7124762970 |
| NPI Enumeration Date: | 12/21/2010 |
| NPI Last Update Date: | 12/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 001362 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |