Provider Information for 1205209830
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MICHAEL VERLEE LPC
Sex: Male
NPI: 1205209830
Last Updated: 2025-01-18
Certification Date: 2025-01-18
Certification Date: 2025-01-18
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1205209830 | ||||||||||||
| Enumeration Date | 2015-11-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | W2574 COUNTY ROAD ES EAST TROY, WI 53120-2558 United States Phone: 262-581-6881 | Fax: | ||||||||||||
| Primary Practice Address | W2574 COUNTY ROAD ES EAST TROY, WI 53120-2558 United States Phone: 262-581-6881 | Fax: | ||||||||||||
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