Individual provider · Type 1 NPI

Justin M. Mickles, MS

Professional Counselor · Clarksville, TN

NPI number 1649266388 Active

Practice location

933 Tracy Ln Ste D
Clarksville, TN 37040-6894

Call (931) 542-6637 Map

Mailing address

695 Fox Trail Ct
Clarksville, TN 37040-6251

Other practice locations

  • 2001 N 35th St, Omaha, NE 68111-4133 · (615) 853-1254
  • 695 Fox Trail Ct, Clarksville, TN 37040-6251 · (615) 853-1254

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4954 (TN)
Professional Counselor 101YP2500X1485 (NE)
Professional Counselor 101YP2500X57 (NE)

Professional Counselor: Definition to come...

5 other providers at this address

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About NPI 1649266388

Justin M. Mickles, MS's National Provider Identifier is 1649266388, issued on Sep 27, 2005. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clarksville, TN. The record was last updated on Dec 4, 2020.