Individual
KATYA MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973
Mailing address
3535 S 31ST ST STE 201, GRAND FORKS, ND 58201-3593
(701) 780-6821
(701) 780-1973
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03243-T
KS
103T00000X
Psychologist
Primary
ND1019
ND
Other
Enumeration date
07/24/2023
Last updated
02/16/2026
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