Provider Demographics
NPI:1568429553
Name:RIEHN, MICHELLE ANN (MA, LPC, NCC, RPT)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ANN
Last Name:RIEHN
Suffix:
Gender:F
Credentials:MA, LPC, NCC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 S FARRAR DR
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-4902
Mailing Address - Country:US
Mailing Address - Phone:573-334-7285
Mailing Address - Fax:573-334-7961
Practice Address - Street 1:106 S FARRAR DR
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-4902
Practice Address - Country:US
Practice Address - Phone:573-334-7285
Practice Address - Fax:573-334-7961
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000152560101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO494626716Medicaid
MO494626716Medicaid