Individual
CHRISTINA MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
675 W NORTH AVE, SUITE 306, MELROSE PARK, IL 60160-1634
(847) 440-2148
(773) 347-2656
Mailing address
5120 THORNCROFT CT, ROYAL OAK, MI 48073-1110
(734) 347-4006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071009129
IL
103TC0700X
Clinical Psychologist
Primary
6301016944
MI
Other
Enumeration date
09/15/2012
Last updated
08/12/2022
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