Doctor Name: | KAYLA MICHAUD |
NPI Number: | 1609269711 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHRT-C |
License Number: | |
Business Practice Address: | 88 Fox St Madawaska, ME - 047561352 |
Business Phone Number: | 2077286727 |
Business Fax Number: | 2077287679 |
Mailing Address: | 88 Fox St, MADAWASKA |
State: | ME |
Postal Code: | 047561352 |
Phone Number: | 2077286727 |
Fax Number: | 2077287679 |
NPI Enumeration Date: | 03/13/2015 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |