Mickelson, Katelyn Ann
Mickelson, Katelyn Ann is an individual health care provider with primary practice located at 2400 32Nd Ave S , Fargo ND 58103-5800. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mickelson, Katelyn Ann can be contacted via phone (701) 234-2000.Contact Information
Primary practice address
2400 32Nd Ave S
Fargo ND 58103-5800
Phone: (701) 234-2000
Fax: (701) 234-3120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 609P | North Dakota |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP6215 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 622 | North Dakota |
Profile Details
| NPI number | 1427431279 |
|---|---|
| LBN Legal business name | Mickelson, Katelyn Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2015 |
| Last updated | May 22nd, 2025 - about last year |
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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