Individual provider · Type 1 NPI

Roni Lee Mickle, LADC

Addiction (Substance Use Disorder) Counselor · Willmar, MN

NPI number 1144561812 Active

Practice location

328 3rd St SW
Willmar, MN 56201-3475

Fax (320) 235-0334

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302396 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1144561812

Roni Lee Mickle, LADC's National Provider Identifier is 1144561812, issued on Mar 6, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Willmar, MN. The record was last updated on Mar 6, 2013.