Individual
MR. JOHN WALTER MIKITSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.,LPC
Contact information
Practice address
11310 HURON ST, ROOM 40, NORTHGLENN, CO 80234-3046
(720) 217-2636
(303) 254-2653
Mailing address
11310 HURON ST, ROOM 40, NORTHGLENN, CO 80234-3046
(720) 217-2636
(303) 254-2653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1672
CO
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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