Provider Demographics
NPI:1053631366
Name:FRENCH, MICHELLE ANN (PHD, DVM, CAC III)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ANN
Last Name:FRENCH
Suffix:
Gender:F
Credentials:PHD, DVM, CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7405 W HWY 50
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-9353
Mailing Address - Country:US
Mailing Address - Phone:719-539-4100
Mailing Address - Fax:719-539-4443
Practice Address - Street 1:7405 W HWY 50
Practice Address - Street 2:SUITE 120
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-9353
Practice Address - Country:US
Practice Address - Phone:719-539-4100
Practice Address - Fax:719-539-4443
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6708101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)