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Michelle Lynn Irish, LCSW,CSAC

Counselor, Addiction (Substance Use Disorder) in Appleton, WI. Individual provider (NPI-1).

NPI number1124239017
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124239017
Entity type
Individual (NPI-1)
Name
Ms. Michelle Lynn Irish
Credential
LCSW,CSAC
Sex
Female
Sole proprietor
No
Enumeration date
May 24, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)682WIYes

Practice location

5583 Waterford Ln Ste D
Appleton, WI 54913-8441

Phone 920-733-2065

Mailing address

1194 Blakes Way
Menasha, WI 54952

Phone 920-205-2401

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