Individual
LYNN MIKKELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
281 1ST AVE. WN, KALISPELL, MT 59901
(406) 471-6267
Mailing address
PO BOX 361, KALISPELL, MT 59903-0361
(406) 471-6267
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SWP-LCPC-LIC-5377
MT
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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