Mickelson, Raquel Ann
Mickelson, Raquel Ann is an individual health care provider with primary practice located at 2920 N 4Th St , Flagstaff AZ 86004-1816. 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, Raquel Ann can be contacted via phone (928) 522-9474.Contact Information
Primary practice address
2920 N 4Th St
Flagstaff AZ 86004-1816
Phone: (928) 522-9474
Fax: (928) 522-9475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LAC-16678 | Arizona |
Profile Details
| NPI number | 1669007043 |
|---|---|
| LBN Legal business name | Mickelson, Raquel Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2020 |
| Last updated | Mar 6th, 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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