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Individual

ANNA MIKESKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
5411 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-3473
(855) 772-8847
Mailing address
5411 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-3473

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-2025-0138
NM
103TC2200X
Clinical Child & Adolescent Psychologist
40229
TX
103TC2200X
Clinical Child & Adolescent Psychologist
5806
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6191
CO

Other

Enumeration date
05/03/2021
Last updated
11/07/2025
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