Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL EDWARD MINNELLA, LCPC
Active Sole ProprietorMICHAEL EDWARD MINNELLA, LCPC is a Mental Health Counselor healthcare provider located in HOMETOWN, Illinois. NPI 1720216864 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · HOMETOWN, IL
Registration Details
- NPI Number
- 1720216864
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2009 (17.108631751578 yrs)
- Last Updated
- Jun 28, 2009
- License
-
180.005220 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8955 S KOMENSKY AVEHOMETOWN, IL, 604561221Browse IL providers · Browse ZIP 60456
- Phone
- 7084250661
- Primary Specialty
-
Mental Health Counselor
101YM0800X
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.