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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MICHELLE DAWN TEBRUGGE, MA, LCPC, NCC

Active Sole Proprietor

Mental Health Counselor · SPRINGFIELD, IL

Registration Details

NPI Number
1316281777
Provider Type
Individual
Gender
Female
NPI Issued
Nov 24, 2012 (13.410086258194 yrs)
Last Updated
May 7, 2016
Licenses
178008478 (IL)
145265 (IL)
180010232 (IL)
Sole Proprietor
Yes

Practice Information

Address
2663 FARRAGUT DR
SUITE A-5
SPRINGFIELD, IL, 627041462
Browse IL providers · Browse ZIP 62704
Phone
2178990108
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Medical Technologist
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in SPRINGFIELD, IL

Name Credential NPI
DENNIS R. DUKE LCPC 1811956014
VERNON J. REINERT LCPC 1649239831
MONICA V. FARQUHAR LCPC 1811956261
MARCIA J. PLASTERS LCPC 1134188444
MARK L. ENGLAND LCPC 1043270804
JAMES L. WILKERSON LCPC 1114987690
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.