Individual
ANDREW WILLIAM MIKITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
374 LOCALS LANE, BRECKENRIDGE, CO 80424-8042
(970) 333-9622
Mailing address
PO BOX 9694, BRECKENRIDGE, CO 80424-9016
(970) 333-9622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6014
CO
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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