Individual
SOPHIE MICKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
963 S 1170 E, SPANISH FORK, UT 84660-2640
(801) 472-4630
Mailing address
963 S 1170 E, SPANISH FORK, UT 84660-2640
(801) 472-4630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14202553-6009
UT
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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