Individual provider · Type 1 NPI

Dawn Luicelle Mikulski

Mental Health Counselor · Brookings, OR

NPI number 1124608138 Active

Practice location

210 Cove Rd
Brookings, OR 97415-2520

Fax (541) 469-0228

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124608138

Dawn Luicelle Mikulski's National Provider Identifier is 1124608138, issued on Apr 13, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brookings, OR. The record was last updated on Apr 13, 2021.