Doctor Name: | MISS MICHELLE VORWALD |
NPI Number: | 1538589247 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 001720 |
Business Practice Address: | 1582 Progress St North Liberty, IA - 523177304 |
Business Phone Number: | 3196211441 |
Business Fax Number: | |
Mailing Address: | 1582 Progress St, NORTH LIBERTY |
State: | IA |
Postal Code: | 523177304 |
Phone Number: | 3196211441 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2014 |
NPI Last Update Date: | 04/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001720 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |