Provider Demographics
NPI:1790107225
Name:HAPPE, MICHELE (MA LADC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:HAPPE
Suffix:
Gender:F
Credentials:MA LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 PEACEFUL VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4306
Mailing Address - Country:US
Mailing Address - Phone:775-230-1507
Mailing Address - Fax:
Practice Address - Street 1:2005 PEACEFUL VALLEY DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-4306
Practice Address - Country:US
Practice Address - Phone:775-230-1507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01515-L101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)