Individual
MEGAN MIKULSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1068 LAKE ST S, SUITE 12, FOREST LAKE, MN 55025-2639
(651) 464-2194
Mailing address
7268 MEADOW CT, LINO LAKES, MN 55014-1166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
655
MN
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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