Individual provider · Type 1 NPI

Mikelle Shupe

Counselor · Clearfield, UT

NPI number 1124486253 Active

Practice location

189 S State St, Suite 222
Clearfield, UT 84015-1061

Fax (801) 255-5131

Mailing address

6013 S Redwood Rd
Taylorsville, UT 84123-5220

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124486253

Mikelle Shupe's National Provider Identifier is 1124486253, issued on Feb 3, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Clearfield, UT. The record was last updated on Feb 3, 2016.