Organization · Type 2 NPI

Ashlee Mickelson LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Laramie, WY

NPI number 1316458540 Active

Practice location

504 S 4th St
Laramie, WY 82070-3704

Mailing address

610 S 5th St
Laramie, WY 82070-3720

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XLCSW-820 (WY)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1316458540

Ashlee Mickelson LLC's National Provider Identifier is 1316458540, issued on Oct 15, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Laramie, WY. The record was last updated on Oct 15, 2017.