Individual
MIKHAELA ELIZABETH AMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MA
Contact information
Practice address
1303 WASHINGTON ST W, CHARLESTON, WV 25302-1333
(304) 202-1699
Mailing address
611 SPRING ST, SAINT ALBANS, WV 25177-3017
(304) 963-1097
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/27/2023
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