| Doctor Name: | MICHELLE L CONNER |
| NPI Number: | 1417096207 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BHS |
| License Number: | |
| Business Practice Address: | 201 E 2nd St Suite B Tompkinsville, KY - 421671673 |
| Business Phone Number: | 2704875655 |
| Business Fax Number: | 2704875948 |
| Mailing Address: | 2975 Harlans Crossroads, TOMPKINSVILLE |
| State: | KY |
| Postal Code: | 421677785 |
| Phone Number: | 2709015000 |
| Fax Number: | 2708425268 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |