Amber Mickelsen

NPI #1043002595 in Pocatello, Idaho

Provider Information

NPI Number
1043002595
Entity Type
Individual
Name
Amber Mickelsen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
May 20, 2025
Last Updated
May 20, 2025

Practice Location

Address
1500 E VENTURE WAY APT 5308
State
Idaho
ZIP Code
83201-1205
Phone
(208) 380-6968

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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