Provider Demographics
NPI:1104338417
Name:FIGUEREO, MICHELE RENEE (MA, LPC)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:RENEE
Last Name:FIGUEREO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:RENEE
Other - Last Name:YAQUINTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2631 WYOMING AVE SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-2327
Mailing Address - Country:US
Mailing Address - Phone:616-558-6295
Mailing Address - Fax:
Practice Address - Street 1:821 W SOUTH ST STE E
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-4664
Practice Address - Country:US
Practice Address - Phone:616-389-0469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-26
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health