Provider Demographics
NPI:1831316520
Name:PREUSS, MICHELE M (MS, LPCC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:M
Last Name:PREUSS
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 S EWING ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-9405
Mailing Address - Country:US
Mailing Address - Phone:740-653-5439
Mailing Address - Fax:740-653-5436
Practice Address - Street 1:771 S EWING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-9405
Practice Address - Country:US
Practice Address - Phone:740-653-5439
Practice Address - Fax:740-653-5436
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002668101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health