MRS. Kristin Marie Mycke, LCSW

NPI #1376699215 in Athens, Texas

Provider Information

NPI Number: 1376699215
Entity Type: Individual
Name: MRS. Kristin Marie Mycke, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 25, 2007
Last Updated: Aug 4, 2025

Practice Location

Address: 12990 COUNTY ROAD 3819
City: Athens
State: Texas
ZIP Code: 75752-6621
Phone: (469) 261-7019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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