Provider Demographics
NPI:1457807331
Name:MICHEL, GINGER (LMHC)
Entity Type:Individual
Prefix:
First Name:GINGER
Middle Name:
Last Name:MICHEL
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 1:130 2ND AVE N UNIT 1712
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-2121
Mailing Address - Country:US
Mailing Address - Phone:425-954-7264
Mailing Address - Fax:206-565-0269
Practice Address - Street 1:19125 NORTH CREEK PARKWAY
Practice Address - Street 2:123B
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011
Practice Address - Country:US
Practice Address - Phone:425-954-7264
Practice Address - Fax:206-565-0269
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60896220101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1255092920OtherTYPE 2 NPI