Provider Demographics
NPI:1710150560
Name:ACCETTOLA, MICHELLE D (LMHC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:D
Last Name:ACCETTOLA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 273
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98071
Mailing Address - Country:US
Mailing Address - Phone:206-226-3321
Mailing Address - Fax:253-887-7620
Practice Address - Street 1:105 M ST NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002
Practice Address - Country:US
Practice Address - Phone:206-226-3321
Practice Address - Fax:253-887-7620
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010782101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health