Provider Demographics
NPI:1619161957
Name:CONTINO, MICHELE HEATHER (LPC,CACDIPLOMATE)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:HEATHER
Last Name:CONTINO
Suffix:
Gender:F
Credentials:LPC,CACDIPLOMATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 APPLEGATE DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-5588
Mailing Address - Country:US
Mailing Address - Phone:484-356-6854
Mailing Address - Fax:
Practice Address - Street 1:146 APPLEGATE DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-5588
Practice Address - Country:US
Practice Address - Phone:484-356-6854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000413101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional