Lisa Mickelson

NPI #1174901698 in Thornton, Colorado

Provider Information

NPI Number: 1174901698
Entity Type: Individual
Name: Lisa Mickelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 16, 2015
Last Updated: May 16, 2015

Practice Location

Address: 8931 HURON ST
City: Thornton
State: Colorado
ZIP Code: 80260-6806
Phone: (303) 853-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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