Individual provider · Type 1 NPI

Mia Mickenberg, LPC

Professional Counselor · Blacksburg, VA

NPI number 1407327034 Active

Practice location

106 Southpark Dr Ste C
Blacksburg, VA 24060-6809

Call (540) 376-3348 Map

Mailing address

1145 Spruce St
Christiansburg, VA 24073-3742

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X0701008012 (VA)
Professional Counselor Primary 101YP2500X0701008012 (VA)

Professional Counselor: Definition to come...

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About NPI 1407327034

Mia Mickenberg, LPC's National Provider Identifier is 1407327034, issued on Dec 7, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Blacksburg, VA. The record was last updated on Jun 12, 2023.