Provider Demographics
NPI:1881063022
Name:PRESTE, MICHELE MARIE (LMHC)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:MARIE
Last Name:PRESTE
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 1:9495 KEILMAN ST
Mailing Address - Street 2:SUITE 6A
Mailing Address - City:SAINT JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373-8924
Mailing Address - Country:US
Mailing Address - Phone:219-779-7817
Mailing Address - Fax:
Practice Address - Street 1:9495 KEILMAN ST
Practice Address - Street 2:SUITE 6A
Practice Address - City:SAINT JOHN
Practice Address - State:IN
Practice Address - Zip Code:46373-8924
Practice Address - Country:US
Practice Address - Phone:219-779-7817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-17
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor