Dennis Michelson, LCDC III

NPI 1497035067 · on the registry since 2011

Practice

Address: 9083 Mentor Ave
Mentor, OH 44060
Phone: (440) 205-2674
Organisation at this address: Lake-Geauga Recovery Centers, Inc
Lake-Geauga Recovery Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 51

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio