Individual provider · Type 1 NPI
Koren Mickelson
Marriage & Family Therapist · Eau Claire, WI
Practice location
3703 Oakwood Hills Pkwy
Eau Claire, WI 54701-4458
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | None listed |
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 1629830880
Koren Mickelson's National Provider Identifier is 1629830880, issued on Jan 24, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Eau Claire, WI. The record was last updated on Dec 8, 2025.