Individual
DR. DAVID P MIKKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1800 COLBY DR, FOREST, VA 24551-1872
(434) 515-1253
Mailing address
1047 VISTA PARK DR STE A, FOREST, VA 24551-4362
(434) 616-2388
(434) 616-2344
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001353
VA
Other
Enumeration date
05/01/2013
Last updated
12/28/2018
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