Individual provider · Type 1 NPI

Laerke Riisberg Mikkelsen

Mental Health Counselor · Petaluma, CA

NPI number 1134043748 Active

Practice location

5405 Red Hill Rd
Petaluma, CA 94952-9480

Call (707) 239-3806 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134043748

Laerke Riisberg Mikkelsen's National Provider Identifier is 1134043748, issued on Aug 6, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Petaluma, CA. The record was last updated on Aug 6, 2026.