Individual
CYNTHIA L MICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
118 W HEARD ST, CLEBURNE, TX 76033-3836
(817) 645-5517
(817) 645-5715
Mailing address
239 S VIRGINIA ST, STEPHENVILLE, TX 76401-4344
(254) 965-5515
(254) 965-7416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10115
TX
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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