Provider Demographics
NPI:1619694429
Name:GARON, MICHELE C (LPC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:C
Last Name:GARON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 WILLIAM PENN PL APT 2512
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-6914
Mailing Address - Country:US
Mailing Address - Phone:412-874-2730
Mailing Address - Fax:
Practice Address - Street 1:520 WASHINGTON RD STE 203
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2816
Practice Address - Country:US
Practice Address - Phone:412-668-2038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014999101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional