Mickelson, Kimberly E

Mickelson, Kimberly E is an individual health care provider with primary practice located at 2303 Raun Ln , El Campo TX 77437-2127. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mickelson, Kimberly E can be contacted via phone (979) 541-3375.

Contact Information

Primary practice address
2303 Raun Ln El Campo TX 77437-2127
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 17777 Texas

Profile Details

NPI number 1487768594
LBN Legal business name Mickelson, Kimberly E
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated May 5th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487768594 NPPES
Texas Other 164430404 DOCS MCD
Texas Other 164430403 DOCS MCD
Texas MEDICAID 164430402 DOCS MCD

Popular Providers