Individual
DR. ANGELA M. MICKELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
257 CASTRO ST STE 218, MOUNTAIN VIEW, CA 94041-1287
(650) 238-4959
Mailing address
23541 SKY VIEW TER, LOS GATOS, CA 95033-9210
(650) 238-4959
(408) 353-6053
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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