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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