# RAQUEL MICKELSON LPC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871220988
- **Authorized official:** RAQUEL MICKELSON LPC (OWNER/COUNSELOR)
- **Authorized official phone:** (928) 225-5429

## Contact information

- **Practice address:** 510 E CHERRY AVE, FLAGSTAFF, AZ 86001-4711
- **Practice address phone:** (928) 225-5429
- **Mailing address:** PO BOX 1703, FLAGSTAFF, AZ 86002-1703
- **Mailing address phone:** (928) 225-5429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 08/08/2022