Individual provider · Type 1 NPI
Michelle L. Wyckoff
Mental Health Counselor · Pueblo, CO
NPI number
1942649066
Active
Practice location
1026 W Abriendo Ave
Pueblo, CO 81004-1128
Fax (719) 545-4100
Mailing address
2109 Chautard Dr
Pueblo, CO 81005-2612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1942649066
Michelle L. Wyckoff's National Provider Identifier is 1942649066, issued on Jun 21, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pueblo, CO. The record was last updated on Jun 21, 2013.