Mariah Mickelson

NPI #1154159168 in Beloit, Wisconsin

Provider Information

NPI Number
1154159168
Entity Type
Individual
Name
Mariah Mickelson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jul 22, 2024
Last Updated
Aug 8, 2024

Practice Location

Address
611 E GRAND AVE STE 2B
City
Beloit
ZIP Code
53511-6399
Phone
(608) 314-6207

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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