Provider Demographics
NPI:1366404964
Name:COTTER, MICHELE L (MA, LPC, NCC, CCTP)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:L
Last Name:COTTER
Suffix:
Gender:F
Credentials:MA, LPC, NCC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 904
Mailing Address - Street 2:
Mailing Address - City:FOGELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18051-0904
Mailing Address - Country:US
Mailing Address - Phone:484-243-0343
Mailing Address - Fax:
Practice Address - Street 1:SOLUTIONS COUNSELING
Practice Address - Street 2:35 EAST ELIZABETH AVE. SUITE 37
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-0000
Practice Address - Country:US
Practice Address - Phone:610-865-1303
Practice Address - Fax:610-865-9632
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002986101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional