Individual provider · Type 1 NPI
Randy Lee Mickelberg, BA
Mental Health Counselor · St. Cloud, MN
NPI number
1649507443
Active
Practice location
1321 13th St N
St. Cloud, MN 56303-2613
Fax (320) 203-1855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1649507443
Randy Lee Mickelberg, BA's National Provider Identifier is 1649507443, issued on Nov 16, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Cloud, MN. The record was last updated on Nov 16, 2009.