Kaileen Mcmickle, MS

NPI #1548718463 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1548718463
Entity Type: Individual
Name: Kaileen Mcmickle, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MS
Enumeration Date: Sep 20, 2016
Last Updated: Oct 7, 2021

Practice Location

Address: 11 E MARSHALL ST STE 203
City: Rice Lake
State: Wisconsin
ZIP Code: 54868-1803
Phone: (715) 204-9095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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