Provider Demographics
NPI:1154433894
Name:HOWARD, MICHELE KATHLEEN (MSW)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:KATHLEEN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:MICHELE
Other - Middle Name:KATHLEEN
Other - Last Name:BELOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1000 NW 77TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-7246
Mailing Address - Country:US
Mailing Address - Phone:360-694-1184
Mailing Address - Fax:
Practice Address - Street 1:14406 NE 20TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-1448
Practice Address - Country:US
Practice Address - Phone:360-571-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR9781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical