Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michaela J Detrick, LPC, CAADC

Individual provider Mental Health Counselor · NPI 1144990961

Michaela J Detrick, LPC, CAADC is a Mental Health Counselor in Williamsport, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.

Licensed in
PA
In the registry since
2021
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1521 Washington Blvd
Williamsport, PA 17701-5426
Phone: (570) 322-5051
Fax: (570) 322-6788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC013722 (PA)
Mental Health Counselor Taxonomy 101YM0800X · Licence PC013722 (PA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 10091 (PA)

Record details

NPI number1144990961
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CAADC
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021
Mailing address716 N Loyalsock Ave, Montoursville, PA 17754-1022

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