Michelle Ann Charbonnier
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ladue, MO
NPI 1831676394 · NPPES record last updated Jul 26, 2018
Key facts
- NPI
- 1831676394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 10593 (MO)
- Practice address
- 9890 Clayton Rd
Ladue, MO 63124 - Phone
- (618) 979-3229
- NPI assigned
- Jul 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10593 | MO | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 10593 | MO | Yes |
Addresses
Primary practice location
9890 Clayton Rd
Ladue, MO 63124
Mailing address
9890 Clayton Rd
Saint Louis, MO 63124-1685
Phone (314) 222-5830
Other providers in Ladue, MO
- Axivarx of Missouri LLC
- Bryan Watanabe DDS Ladue Dental Group, PC
- Carl a. Lyss, MD, LLC
- City of Ladue
- Clarkson Optometry Inc
- Stanley Greenburg
- Amy Katherine Presley
All providers in Ladue, MO · Addiction (Substance Use Disorder) Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.