Individual provider · Type 1 NPI

Carly Mikkila, LPC-IT

Mental Health Counselor · Muskego, WI

NPI number 1629854286 Active

Practice location

S73W16485 Janesville Rd # 202
Muskego, WI 53150-8960

Mailing address

6808 University Ave Ste 108
Middleton, WI 53562-2779

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1629854286

Carly Mikkila, LPC-IT's National Provider Identifier is 1629854286, issued on Sep 7, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Muskego, WI. The record was last updated on Sep 7, 2023.