Ashlee Mickelson LLC

NPI #1316458540 in Laramie, Wyoming

Provider Information

NPI Number: 1316458540
Entity Type: Organization
Organization Name: Ashlee Mickelson LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 15, 2017
Last Updated: Oct 15, 2017

Practice Location

Address: 504 S 4TH ST
City: Laramie
State: Wyoming
ZIP Code: 82070-3704
Phone: (307) 755-1000

Authorized Official

Name: ASHLEE MICKELSON, LCSW
Title: OWNER/THERAPIST
Phone: (307) 272-3515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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