| Doctor Name: | MICHELLE A HOAG |
| NPI Number: | 1285912675 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 8182 |
| Business Practice Address: | 304 N Jefferson Ave Iola, KS - 667492327 |
| Business Phone Number: | 6203655717 |
| Business Fax Number: | 6203658255 |
| Mailing Address: | 304 N Jefferson Ave, IOLA |
| State: | KS |
| Postal Code: | 667492327 |
| Phone Number: | 6203655717 |
| Fax Number: | 6203658255 |
| NPI Enumeration Date: | 08/02/2011 |
| NPI Last Update Date: | 08/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |