Individual provider · Type 1 NPI

Michael Patrick Connelly

Counselor · Port Huron, MI

NPI number 1730495797 Active

Practice location

3111 Electric Ave
Port Huron, MI 48060-8127

Mailing address

11890 Imlay City Rd
Emmett, MI 48022-2508

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1730495797

Michael Patrick Connelly's National Provider Identifier is 1730495797, issued on Aug 27, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Port Huron, MI. The record was last updated on Aug 27, 2010.