Mickelsen, Colette

Mickelsen, Colette is an sole proprietor health care provider with primary practice located at 12 Health Services Dr , Dekalb IL 60115-9637. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mickelsen, Colette can be contacted via phone (815) 756-4875.

Contact Information

Primary practice address
12 Health Services Dr Dekalb IL 60115-9637
Phone: (815) 756-4875
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1861085367
LBN Legal business name Mickelsen, Colette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2021
Last updated Feb 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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