Individual
SARAH E MICKELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
200 4TH AVE W STE 300, SHAKOPEE, MN 55379-1220
(952) 496-8565
(952) 496-8355
Mailing address
200 4TH AVE W STE 300, SHAKOPEE, MN 55379-1220
(952) 496-8565
(952) 496-8355
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4021
MN
106H00000X
Marriage & Family Therapist
85903
CA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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