Mickelson, Michael
Mickelson, Michael is an individual health care provider with primary practice located at 2360 E Pershing Blvd , Cheyenne WY 82001-5356. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mickelson, Michael can be contacted via phone (307) 778-7550.Contact Information
Primary practice address
2360 E Pershing Blvd
Cheyenne WY 82001-5356
Phone: (307) 778-7550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW1145 | Wyoming |
Profile Details
| NPI number | 1780928093 |
|---|---|
| LBN Legal business name | Mickelson, Michael |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2012 |
| Last updated | Apr 27th, 2020 - about 6 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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