Organization
LISA L. MIKESELL LLC
Active
Organization
LISA L. MIKESELL LLC
Active
Other names
Journey Counseling Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LEE MIKESELL LCSW CACIII (PSYCHOTHERAPIST)
(303) 776-1117
Entity
Organization
Contact information
Practice address
1801 SUNSET PL STE A, LONGMONT, CO 80501-6575
(303) 776-1117
(303) 485-2323
Mailing address
1300 GAY CIR, LONGMONT, CO 80501-1876
(303) 249-7910
(303) 485-2323
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
992369
CO
Other
Enumeration date
07/02/2017
Last updated
07/02/2017
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