Individual provider · Type 1 NPI

Tamara Marie Mickelson

Marriage & Family Therapist · San Jose, CA

NPI number 1013240647 Active

Practice location

1885 Lundy Ave Ste 223
San Jose, CA 95131-1888

Call (408) 284-9000 Map

Mailing address

701 Shelter Creek Ln Apt 8131
San Bruno, CA 94066-3855

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1013240647

Tamara Marie Mickelson's National Provider Identifier is 1013240647, issued on Sep 15, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Jose, CA. The record was last updated on Sep 15, 2009.