Individual provider · Type 1 NPI

Kathleen Denise Mikkelsen, LPC

Professional Counselor · Bristow, VA

NPI number 1437696341 Active

Practice location

9560 Linton Hall Rd
Bristow, VA 20136-1218

Call (703) 989-3016 Map

Fax (703) 972-2240

Mailing address

10060 Naughton Ct
Bristow, VA 20136-3068

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701006940 (VA)

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About NPI 1437696341

Kathleen Denise Mikkelsen, LPC's National Provider Identifier is 1437696341, issued on Jan 30, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bristow, VA. The record was last updated on May 7, 2019.