Anthony (mia) Joel Mikelic

NPI #1194218123 in Prineville, Oregon

Provider Information

NPI Number: 1194218123
Entity Type: Individual
Name: Anthony (mia) Joel Mikelic
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 13, 2018
Last Updated: Jun 13, 2018

Practice Location

Address: 1103 NE ELM ST
City: Prineville
State: Oregon
ZIP Code: 97754-1664
Phone: (541) 323-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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