Provider Demographics
NPI:1154660132
Name:ADLER, MICHELLE LYNN (NCC, LPC)
Entity Type:Individual
Prefix:MR
First Name:MICHELLE
Middle Name:LYNN
Last Name:ADLER
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-3354
Mailing Address - Country:US
Mailing Address - Phone:814-504-2628
Mailing Address - Fax:
Practice Address - Street 1:4021 W 12TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-3354
Practice Address - Country:US
Practice Address - Phone:814-504-2628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PC005905101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional