Individual provider · Type 1 NPI
Lisa Ann Mikulencak, MA
Mental Health Counselor · Seattle, WA
NPI number
1336349307
Active
Practice location
7318 19th Ave NW
Seattle, WA 98117-5611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LH00006558 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1336349307
Lisa Ann Mikulencak, MA's National Provider Identifier is 1336349307, issued on Jul 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Jul 18, 2007.