Individual provider · Type 1 NPI
Michael King Deagro Jr., M.S., L.P.C.
Professional Counselor · Traverse City, MI
NPI number
1548449671
Active
Practice location
223 W Grandview Pkwy Ste 9
Traverse City, MI 49684-2277
Mailing address
426 W 7th St
Traverse City, MI 49684-2431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401008418 (MI) |
Professional Counselor: Definition to come...
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About NPI 1548449671
Michael King Deagro Jr., M.S., L.P.C.'s National Provider Identifier is 1548449671, issued on Oct 25, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Traverse City, MI. The record was last updated on Oct 25, 2007.