Individual provider · Type 1 NPI
Kaileen McMickle, MS
Professional Counselor · Rice Lake, WI
NPI number
1548718463
Active
Practice location
11 E Marshall St Ste 203
Rice Lake, WI 54868-1803
Mailing address
2065 16 3/4 Ave
Rice Lake, WI 54868-8706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3216-226 (WI) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1548718463
Kaileen McMickle, MS's National Provider Identifier is 1548718463, issued on Sep 20, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rice Lake, WI. The record was last updated on Oct 7, 2021.