| Nancy Mickelson | |
|
104 20th Ave Sw Ste 4 Minot ND 58701-6572 | |
| (701) 721-0711 | |
| Not Available |
| Full Name | Nancy Mickelson |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 104 20th Ave Sw Ste 4, Minot, North Dakota |
| Authorized Official Name and Position | Nancy Lynn Mickelson (PROVIDER/OWNER) |
| Authorized Official Contact | 7017210711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Mickelson 104 20th Ave Sw Ste 4 Minot ND 58701-6572 Ph: (701) 721-0711 | Nancy Mickelson 104 20th Ave Sw Ste 4 Minot ND 58701-6572 Ph: (701) 721-0711 |
| NPI Number | 1679453260 |
|---|---|
| Provider Enumeration Date | 09/04/2025 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679453260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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