Individual provider · Type 1 NPI
Michelle Lynn Irish, LCSW, CSAC
Addiction (Substance Use Disorder) Counselor · Appleton, WI
NPI number
1124239017
Active
Practice location
5583 Waterford Ln Ste D
Appleton, WI 54913-8441
Mailing address
1194 Blakes Way
Menasha, WI 54952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 682 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1124239017
Michelle Lynn Irish, LCSW, CSAC's National Provider Identifier is 1124239017, issued on May 24, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Appleton, WI. The record was last updated on Jul 8, 2007.