Individual
GINA MICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2704 I ST NE, AUBURN, WA 98002-2411
(253) 833-7444
(253) 661-8631
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
(253) 661-8631
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61202664
WA
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
SC61676722
WA
Other
Enumeration date
04/01/2022
Last updated
02/09/2026
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