Individual provider · Type 1 NPI

Suzanne Ellis Mikkelson, M.A.

Marriage & Family Therapist · Fayetteville, NC

NPI number 1578740924 Active

Practice location

114 Highland Ave
Fayetteville, NC 28305-5306

Call (910) 484-0176 Map

Fax (910) 484-5781

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X904 (NC)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1578740924

Suzanne Ellis Mikkelson, M.A.'s National Provider Identifier is 1578740924, issued on Jan 29, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fayetteville, NC. The record was last updated on Jan 29, 2008.