Micaela D Shockley, LPC

NPI #1982300117 in Savage, Minnesota

Provider Information

NPI Number: 1982300117
Entity Type: Individual
Name: Micaela D Shockley, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Jan 31, 2023
Last Updated: Aug 25, 2023

Practice Location

Address: 5725 LOFTUS LN
City: Savage
State: Minnesota
ZIP Code: 55378-2717
Phone: (952) 952-6120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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