| Doctor Name: | SANDRA M MCMICHAEL |
| NPI Number: | 1760698013 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, CDP |
| License Number: | CP00003587 |
| Business Practice Address: | 1115 B Street Plummer, ID - 838510388 |
| Business Phone Number: | 2086861931 |
| Business Fax Number: | |
| Mailing Address: | 6116 E 6th Ave Apt G2, SPOKANE VALLEY |
| State: | WA |
| Postal Code: | 992120415 |
| Phone Number: | 5095354419 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CP00003587 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |