Provider Demographics
NPI:1598227357
Name:DUROCHER, MORGAN ARIEL (R-DMT, LPC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ARIEL
Last Name:DUROCHER
Suffix:
Gender:F
Credentials:R-DMT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 CARPENTER RD STE 5&7
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1172
Mailing Address - Country:US
Mailing Address - Phone:734-391-9056
Mailing Address - Fax:
Practice Address - Street 1:2835 CARPENTER RD STE 5&7
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1172
Practice Address - Country:US
Practice Address - Phone:734-391-9056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401017671101YP2500X
MI6401222742101YP2500X
2273225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist