| Doctor Name: | MR. MICHAEL JOHN PIERCE |
| NPI Number: | 1578703450 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.M.H.C. |
| License Number: | 001194 |
| Business Practice Address: | 1014 Avenue H Suite 1 Fort Madison, IA - 526274512 |
| Business Phone Number: | 3193721200 |
| Business Fax Number: | |
| Mailing Address: | 834 Avenue D, FORT MADISON |
| State: | IA |
| Postal Code: | 526272836 |
| Phone Number: | 3193719376 |
| Fax Number: | |
| NPI Enumeration Date: | 03/04/2009 |
| NPI Last Update Date: | 07/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 001194 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |