MR. William Mickens, QMHP

NPI #1598198962 in Aylett, Virginia

Provider Information

NPI Number
1598198962
Entity Type
Individual
Name
MR. William Mickens, QMHP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Credential
QMHP
Enumeration Date
Aug 20, 2013
Last Updated
Aug 21, 2013

Practice Location

Address
5833 RICHMOND TAPPAHANNOCK HWY # 108
City
Aylett
ZIP Code
23009-3007
Phone
(804) 387-0426

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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