Provider Demographics
NPI:1609376938
Name:HUFNAGEL, MICHELE LYNN
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:LYNN
Last Name:HUFNAGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 ARROWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-4000
Mailing Address - Country:US
Mailing Address - Phone:248-671-4939
Mailing Address - Fax:248-886-4730
Practice Address - Street 1:222 ARROWOOD DR
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-4000
Practice Address - Country:US
Practice Address - Phone:248-886-4730
Practice Address - Fax:248-886-4730
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-13
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401019351101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor