Individual
HEATHER N MIKKELSON
Active
Individual
HEATHER N MIKKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,CSAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
WI
101YM0800X
Mental Health Counselor
—
WI
1041C0700X
Clinical Social Worker
Primary
9240-123
WI
Other
Enumeration date
05/10/2017
Last updated
03/30/2026
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