Individual
MRS. DENISE LORETTA MIKUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1304 MAIN ST, HELLERTOWN, PA 18055-1323
(610) 215-7183
Mailing address
1846 NANCY LEE CT, HELLERTOWN, PA 18055-2731
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011088
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC011088
STATE LICENSE NUMBER FOR PROFESSIONAL COUNSELING
PA
Enumeration date
01/07/2021
Last updated
01/07/2021
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