Individual provider · Type 1 NPI
Michael W. Champ, LMHC
Mental Health Counselor · Fairfield, IA
NPI number
1356685580
Active
Practice location
200 W Lowe Ave, Suite 108
Fairfield, IA 52556-2470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 001546 (IA) |
Mental Health Counselor: Definition to come...
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About NPI 1356685580
Michael W. Champ, LMHC's National Provider Identifier is 1356685580, issued on Nov 9, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, IA. The record was last updated on May 3, 2014.