Individual provider · Type 1 NPI

David Mickelson, MS/LAC

Addiction (Substance Use Disorder) Counselor · Bismarck, ND

NPI number 1356387534 Active

Practice location

1237 W Divide Ave, Ste 5
Bismarck, ND 58501-1208

Fax (701) 328-8900

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1506 (ND)

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

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About NPI 1356387534

David Mickelson, MS/LAC's National Provider Identifier is 1356387534, issued on Jun 22, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bismarck, ND. The record was last updated on Jul 8, 2007.