Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 104100000X | Social Worker | 6803086455 | MI |
NPI | 1003160854 |
---|---|
Provider Name | Michelle Germinder |
First Address | Hastings, MI 49058-9018 |
Second Address | Hastings, MI 49058-9018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2012 |
Last Update Date | 10/03/2017 |