Individual
INGVILD MIKKELBORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3090 E CORONADO TRL # AZ86335, RIMROCK, AZ 86335-5283
(928) 567-1322
Mailing address
190 W STATE ROUTE 89A # 1157, SEDONA, AZ 86336-6135
(928) 567-1322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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